Sustainability and Transformation Plans (STPs)

Update 1

The NHS planning guidance which was received at the end of last year asked NHS organisations, in addition to producing their own operational plans for the coming year, to work together across a larger footprint to make joint plans for their local health and care services – a ‘sustainability and transformation plan’.

So health service leaders across the country are being asked to develop five-year place-based plans covering all areas of NHS-commissioned care in their area (including by working closely with colleagues in local government). The idea is that some of the challenges being faced are just too vast to be tackled by single economies in isolation, and instead could be better and more effectively solved in partnership with neighbouring economies on a larger scale.

While the guidance for sustainable transformation plans focuses mainly on NHS services, developing a credible plan will require the NHS to work closely with social care, public health and other local government services, as well as third sector organisations and members of the local community.


What does this mean at a local level?

The footprint we are working on is Herefordshire and Worcestershire. Both health and care systems are establishing principles and priorities to support the development of our plan, ensuring we have a collective understanding of the gaps in relation to Health and Wellbeing, Care and Quality and Funding and Efficiency, known as the triple aims.

All local organisations across both patches are fully engaged in all the STP developments and we are in the process of identifying the resource to ensure all deadlines can be met alongside the delivery of all other on-going priorities. 

Each STP is required to identify a CEO lead and ours has been confirmed as Sarah Dugan, Chief Executive of Worcestershire Health and Care NHS Trust. Her role is leading and co-ordinating the project governance around this which includes a number of work-streams which are led by colleagues from across both counties.


Who is involved in this work?

Leaders from across the local system have already been appointed to various core programme leadership and PMO roles:

  • Strategic Leader – Sarah Dugan (CEO, Worcestershire Health and Care NHS Trust)
  • Programme Director – David Mehaffey (Director of Strategy, NHS South Worcestershire CCG)
  • Programme Manager – Alison Roberts (Head of Planning & Programme Management, Worcestershire Health and Care NHS Trust)

In addition, a number of work-streams have now been established with the focus being on how we deal with specific challenges across the patch in relation to the three key areas; Health and Wellbeing, Care and Quality and Funding and Efficiency.

The work-stream CEO sponsor and leads for these are:

  • Health and Wellbeing – Simon Hairsnape (Chief Officer, NHS Herefordshire CCG) and Rod Thomson (Director of Public Health, Herefordshire Council)
  • Care and Quality – Dr Carl Ellson (Chief Clinical Officer, NHS South Worcestershire CCG), Mari Gay (Chief Operating Officer, NHS South Worcestershire CCG) and Marie Crofts (Director of Nursing, 2Gether FT)
  • Funding and Efficiency – Simon Trickett (Chief Officer, NHS Redditch and Bromsgrove and NHS Wyre Forest CCGs) and Robert Mackie (Director of Finance, Worcestershire Health and Care NHS Trust)


What are the next steps?

Stage 1 – pre Easter, ‘what are our challenges?’

We need to have agreed three things by Easter:

  • the governance arrangements and processes needed to produce an agreed STP and then to implement this governance structure;
  • the scale of the challenge locally for each of the three gaps (Health and Wellbeing, Care and Quality and Funding and Efficiency); and
  •  key priorities identified to address each gap.


Work on these is underway and on track and we will be sharing the details as they emerge over the coming weeks.

Stage 2 – post Easter, ‘developing our STP’

After Easter, will be focusing on more of the detail and the actions required to close the three gaps (Health and Wellbeing, Care and Quality and Funding and Efficiency) over the next five years. Each area must submit their STP by June 30th 2016.

The STP is a great opportunity for us to work together to improve outcomes for people across Herefordshire and Worcestershire.  All local organisations across the footprint  are fully engaged and we are in the process of considering our priorities for the planning process.  I am confident that despite the significant challenges that we face locally, we can develop a plan that makes significant progress towards an effective and sustainable NHS across Herefordshire and Worcestershire. There is a lot of great work already underway across our footprint which provides the building blocks for greater and more ambitious transformation moving forward.

We will be issuing regular updates across both economies to keep you updated.

Sarah Dugan
Lead for the Herefordshire and Worcestershire STP

(Updates will be separately posted in sub tabs under STPs tab on Community hwb - eg Update 2 - http://www.comfirst.org.uk/stp_update_2