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National health and care bodies in England have published details of the 44 ‘footprint’ areas that will bring local health and care leaders, organisations and communities together to develop local blueprints for improved health, care and finances over the next five years, delivering the NHS Five Year Forward View.
Senior leaders who will be leading this work have also been confirmed today, with broadly equal representation from clinical commissioning groups and from hospitals and other providers of care, as well as some key figures from local authorities, recognising the need for local systems to work in partnership. They include:
- Dr Amanda Doyle OBE, GP, Chief Clinical Officer of NHS Blackpool Clinical Commissioning Group and Co-Chair of NHS Clinical Commissioners (Lancashire and South Cumbria footprint);
- Sir Andrew Morris, Chief Executive of Frimley Health NHS Foundation Trust (Frimley Health footprint);
- Angela Pedder OBE, Chief Executive of the Royal Devon & Exeter NHS Foundation Trust (Devon footprint);
- David Sloman, Chief Executive of the Royal Free London NHS Foundation Trust (North Central London footprint);
- David Smith, Chief Executive of NHS Oxfordshire Clinical Commissioning Group (Buckinghamshire, Oxfordshire and Berkshire West footprint);
- Sir Howard Bernstein, Chief Executive of Manchester City Council (Greater Manchester footprint);
- Mark Rogers, Chief Executive of Birmingham City Council and President of the Society of Local Authority Chief Executives (Birmingham and Solihull footprint); and
- Toby Sanders, Accountable Officer of NHS West Leicestershire Clinical Commissioning Group (Leicester, Leicestershire and Rutland footprint).
Last December, NHS shared planning guidance set out a new approach to help ensure that health and care services are planned by place rather than solely around individual institutions, over a period of five years, rather than just a single year. Central to this are the design and delivery of Sustainability and Transformation Plans (STPs), which must show clearly how each area will pursue the ‘triple aim’ set out in the NHS Five Year Forward View – improved health and wellbeing, transformed quality of care delivery, and sustainable finances.
Frontline leaders have worked together closely to agree the most locally appropriate boundaries, recognising that footprints will not cover all planning eventualities, and that different areas will have different needs. Populations range from 300,000 (in West, North and East Cumbria) to nearly three million people (in Greater Manchester). They include five local areas within London, and many which are in line with county boundaries.
NHS England worked to establish a Sustainability and Transformation Fund of £2.1bn for 2016/17, which will rise to £2.9bn in 2017/18 and to £3.4bn in 2020/21. STPs will become the single application and approval process for being accepted onto programmes with transformation funding from 2017/18 onwards.
Most of the 44 areas will be led by people already working in the local health and care economies, with named individuals responsible for convening, overseeing and coordinating their STP work. They are individuals who command both local and national support, whose collective efforts alongside colleagues will help transform health and care over the next few years.
The national bodies are also publishing guidance and templates to support areas in submitting information about their governance and priorities by 15 April, in advance of final submissions by the end of June.
Simon Stevens, Chief Executive of NHS England, said: “Now is quite obviously the time to confront – not duck – the big local choices needed to improve health and care across England over the next five years, and STPs are a way of doing this. Their success will largely depend on the extent to which local leaders and communities now come together to tackle deep-seated and long-standing challenges that require shared cross-organisational action. The NHS nationally will be working closely to support them in doing that.”
Jim Mackey, Chief Executive Designate of NHS Improvement, said: “Everyone accepts that change is needed within the NHS. We need to create a health and care system that meets the needs of patients and is sustainable for the long-term.
“Improvement within the NHS needs organisations to work strategically within their local health economy. We need the Sustainability and Transformation Plans to encourage organisations to work together, to think boldly and to work out how change – no matter how radical – can best be achieved to meet the major challenges we face.
“NHS Improvement will continue to support these local areas as they look to deliver the improvements we all want to see.”
Duncan Selbie, Chief Executive of Public Health England said: “Place-based planning is at the heart of making this happen – leaders from local government and the local NHS working together to close the three gaps and squeezing the best possible value from their shared work.
“Some footprints cross multiple localities and we are sensitive to the need for STPs to align local plans with the work on devolution agreements and PHE is ready to support this every step of the way.”
Dr Amanda Doyle, leader for Lancashire and South Cumbria footprint, said: “I am very pleased to be working with my colleagues across the Lancashire and South Cumbria STP footprint as we draw up our plans to make sure that health services in our area rise to the challenges set out in the Five Year Forward View.
“I am very conscious that my role is only one of many that will be needed if we are to secure sustainable services and I don’t underestimate the task that we have ahead of us. I am looking forward to the opportunity to see how other areas are tackling the same sorts of issues that we face – I am sure that there is much that we can learn from one another.”
David Sloman, leader for North Central London footprint, said: “I’m really looking forward to working with our partners in North Central London to improve the health of the communities we serve.”
Mark Rogers, leader for Birmingham and Solihull footprint, said: “I am pleased that through a natural consensus, my council and NHS colleagues across Solihull and Birmingham have shown faith and confidence in me to take and develop a system leadership role across our shared places. This will give me the opportunity to see if we can make some pretty seismic changes to the way we address the needs of local people at a time when quality, service models and finances are all under immense pressure. I look forward to working collaboratively with the many organisations who can – and must – act together and in harmony to improve our citizens’ lives.”