Sustainability and transformation partnerships

In 2016 the NHS and local councils came together in 44 areas covering all of England to develop proposals to improve health and care. They formed new partnerships – known as sustainability and transformation partnerships – to run services in a more coordinated way, to agree system-wide priorities, and to plan collectively how to improve residents’ day-to-day health.

By ensuring decisions are made at the most appropriate level, and empowering local leaders to plan around the long-term needs of the people they serve, health and care systems can make simple, practical improvements for local communities.

Although partnerships published their initial proposals in 2016, these have substantially evolved to reflect views from people who use and provide services, elected representatives and local voluntary organisations. Each is at a different stage of its journey, and local priorities understandably vary. You can view the original plans, published in 2016 below.

View the plans

Find out more about STPs in this short video:

The partners

Sustainability and transformation partnerships build on collaborative work that began under the NHS Shared Planning Guidance for 2016/17 – 2020/21, to support implementation of the Five Year Forward View. They are supported by six national health and care bodies: NHS England; NHS Improvement; the Care Quality Commission (CQC); Health Education England (HEE); Public Health England (PHE) and the National Institute for Health and Care Excellence (NICE).

Further information

You can find out more about the programme by looking at the frequently asked questions page. For more details about STPs, email You can also join the conversation on Twitter by following: @NHSEngland or by using the hashtag: #futureNHS.