As local plans to improve health and care continue to develop, partners across the system will need to work together in new and different ways. National health and care bodies are working closely with all 44 STP areas to support them to do this.
Below is a range of information, commentary and tools that help to demonstrate the opportunity and challenges within the NHS – and for local teams to use as they develop their plans for change.
External reports and information
- The Last 1000 days – ‘making patients time the most important currency in healthcare’
- Shifting the balance of care: Great expectations (Nuffield Trust, March 2017)
- The Health and Care of Older People in England (Age UK, February 2017)
- Swimming together or sinking alone (Institute of Healthcare Management, January 2017)
- The challenge and potential of whole system flow: Improving flow across whole health and care systems (The Health Foundation, December 2016)
- Realising the value: Ten key actions to put people and communities at the heart of health and wellbeing (The Health Foundation, November 2016)
- The Revolution will be Improvised Part II: Insights from places on transforming systems (Local Government Association, February 2016)
- Place-based systems of care: A way forward for the NHS in England (The King’s Fund, November 2015)
- The practice of system leadership: Being comfortable with chaos (The King’s Fund, May 2015)
- The Revolution will be Improvised: Stories and insights about transforming systems (Leadership for Change, September 2014)
- MacLeod and Clarke’s Concept of Employee Engagement: An Analysis based on the Workplace Employment Relations Study (Advisory, Conciliation and Arbitration Service, August 2014)
- Meeting the Challenge: Successful employee engagement in the NHS (Involvement and Participation Association, April 2014)
NHS in the news
- Blogs about STPs
- Lessons learnt from the STP journey so far (Health Service Journal, spring 2017)
- Examples of Fab Stuff to support next steps on the NHS Five Year Forward View (the Academy of Fabulous NHS Stuff, April 2017)
- Wraparound Care: is it the future of the NHS? (The Guardian, March 2017)
- 10 charts that show why the NHS is in trouble (BBC, February 2017)
- What the ‘Emergency’ in A & E should mean (The Sun, January 2017)
Engaging local people – a guide for local areas developing sustainability and transformation plans
This document is for teams developing plans to improve health and care in each of the 44 footprint areas, and the statutory organisations which form part of them. It aims to clarify the expectations on stakeholder involvement, in particular patient and public participation. It also covers legal duties around engagement and consultation and will be of particular interest to communication and engagement leads for STPs and footprint leaders. Read the press release.
Updates from Simon Stevens and Jim Mackey
In December 2016 Simon Stevens and Jim Mackey sent a letter to Chief executives of national bodies, NHS organisations and local authority directors covering the next steps on STPs and the 2017-2019 planning round. In this letter they outlined the importance of intensifying engagement with patients, staff, communities and local stakeholders. It also emphasised the particular effort needed to engage clinicians and other staff. You can read the full letter here.
This follows a letter that was sent in February 2016 to the chief executives of the national health and care bodies to local health and care systems to explain more about Sustainability and Transformation Plans. This letter includes:
- additional information about the purpose of STPs;
- an early indication of the support package for developing the plans; and
- a timeline for the STP process, including key dates when STP footprints will be asked to feedback ahead of full consideration of plans in June/July 2016.
Indicative STP allocations – May 2016
Place-based funding allocations for the period 2016/17 to 2020/21 were published in January, comprising CCG allocations, primary care medical allocations and specialised services allocations.
Separate additional funding has been identified and initially held at a national level for the Sustainability and Transformation Fund, and other elements of transformation such as primary care.
In order to support STP footprints in developing plans for their areas in 2020/21, this note sets out, on an indicative basis, the total additional funding which could be available in 2020/21 from all sources. This includes a proportionate element of the sustainability fund, and of those transformation funds expected to be made available for local investment and services. This is intended to give an early sense of the potential additional resources which could be available.
Quick guides – May 2016
These quick guides are designed to help local leaders work together in tackling the big system questions, and build on existing efforts to make progress on some of the most challenging priorities. Each guide starts by setting out what success in 2020 would look like, and gives suggestions about how areas could approach implementation.
The guides included in this package distil guidance/information from other publications and do not contain new asks or priorities. They are a description of the top-line objectives we need collectively to achieve by the end of the decade, both nationally and locally.
- Introduction to the aide memoires
- Learning disabilities
- Mental health
- New care models
- Personalisation and choice
- Primary care
- Supporting people to manage their own health, wellbeing and care
- Urgent and emergency care and 7 day hospital services