What is an STP?
The Sustainability and Transformation Plan (STP) sets out how local health and care services will transform and become sustainable over the next five years, building and strengthening local relationships and ultimately delivering the Five Year Forward View vision.
Why develop a STP?
For the NHS to meet the needs of future patients in a sustainable way, we need to close the gaps in health, finance and quality of care between where we are now and where we need to be in 2020/21.
In order to create a better future for the NHS, and for local people to live long and healthy lives, we must make changes to how local people live, access care, and how care is delivered. This doesn’t mean doing less for patients or reducing the quality of care provided. It means more preventative care; finding new ways to meet people’s needs; and identifying ways to do things more efficiently.
What will the STP focus on?
The health of the north London population is challenging, with deprivation, significant population growth, and different population needs. We see prevention as key, and by investing it we can manage our growing population within our current hospital space.
NHS England has been clear that it expects the STP to:
- describe a local cross-partner prevention plan, with particular action on national priorities of obesity, diabetes and locally identified priorities to reduce demand and improve the health of local people;
- increase investment in the out-of-hospital sector, including considering how to deliver primary care at scale;
- set out local ambitions to deliver seven day services. In particular: (i) improving access and better integrating 111, minor injuries, urgent care and out-of-hours GP services; (ii) improving access to primary care at weekends and evenings; and (iii) implementing the four priority clinical standards for hospital services every day of the week;
- support the accelerated delivery of new care models in existing vanguard sites; or, in systems without vanguards, set out plans for implementing new models of care with partners;
- set out collective action on quality improvement
- set out collective action on key national clinical priorities such as improving cancer outcomes; increasing investment in mental health services and parity of esteem for mental health patients; transforming learning disabilities services; and improving maternity services;
- ensuring these and other changes return local systems to financial balance, together with the increased investment that will come on-stream as set out in NHS England’s allocations to CCGs; and
- be underpinned by a strategic commitment to engagement at all levels.
We have identified the emerging priorities which will benefit from a NCL-wide focus, these include:
- Care closer to home
- Children and young people
- Communications and engagement
- Mental Health
- Planned Care
- Urgent and emergency care
Who is leading on this work?
Accountable Officer for the five North Central London CCGs, Helen Pettersen (link to bio) is the convener and overall lead for the STP across NCL. All local councils and clinical commissioning groups are involved in the NCL STP alongside community, mental health and acute services providers. The leadership team also consists of:
- Provider lead: (David Sloman, Chief Executive Royal Free NHS Foundation Trust )
- Commissioner lead: ()
- Clinical leads: (Dr Jo Sauvage and Dr Richard Jennings)
- Local authority lead: (Mike Cooke)
How will the STP impact on other programmes, such as the devolution pilots and vanguards?
Rather than looking at starting from scratch, the NCL STP recognises existing local plans and supports the pace of implementation of these, driving them and focusing on delivering added value.
North Central London is home to four national Vanguards:
- The Royal Free London NHS Foundation Trust is developing a provider chain model;
- University College London Hospitals NHS Foundation Trust Vanguard is focused on what can be done to improve the end-to-end experience for people with cancer;
- Moorfields Eye Hospital NHS Foundation Trust is developing an ophthalmology specialty chain;
- and, the Royal National Orthopaedic Hospital NHS Trust is one of 13 partners developing a UK-wide chain of orthopaedic providers.
NCL is also home to two devolution pilots: one seeking to optimise the use of health and social care estate, and another focused on prevention in Haringey. In primary care, GP practices are already working together in a number of GP Federations to provide extended services to our residents.
Will the NCL STP involve the closure of A&E departments in North Central London?
The closing of A&E departments is not part of the NCL STP.