Background to sustainability and transformation plans (STPs)

These footprints have an average population of 1.2 millon, with the smallest 300,000 and the largest 2.8 million. Each area has a named individual to the lead the development of the plans, the majority of these are from Clinical Commission Groups (CCGs) but some are leaders of NHS trusts or senior local government officials. STPs have no formal organisational framework all work is being done in addition to organisations day to day activities.

The initial NHS England guidance set out 60 questions to be considered when developing plans. These cover three areas, improving quality, improving health and wellbeing and improving efficiency of services. Each STP footprint has been asked to design a plan that meets the key priorities for their locality, and include better integration with local authorities

STPs offer a real opportunity to ensure that care is delivered in a joined up way and ensure that the needs of local populations are reflected in service delivery; however this will be delivered against the backdrop of sustained financial pressure on the NHS and social care.

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