STPs: Sustainability and Transformation Plans

In December 2015, NHS England published the document Delivering the Forward View: NHS planning guidance 2016/17 – 2020/21, which calls for a major reorganisation of the NHS at a local level through the use of sustainability and transformation plans or STPs.

In January 2016, 44 STP areas or “footprints” were designated, which vary in population size from 300,000 up to 2.8 million. The STP for each area is being devised by a discussion body or board comprised of representatives from local health (NHS trusts and Care Commissioning Groups) and care organisations and local councils.

You can find the initial Draft Outline Business Case of the STP for Cornwall & the Isles of Scilly here.

IN A NUTSHELL THE DRAFT BUSINESS CASE FOR THE NHS IN CORNWALL & IOS STATES VERY CLEARLY THAT EXPENDITURE ON HEALTHCARE HAS TO BE CUT BY £264M.

As a result of both reading and re-reading the document and attending the local public meeting, HIC submitted its response to the STP Governing Body on 27th January 2017. Copies were also sent to all of the County’s MPs and all Cornwall & Isles of Scilly Council Councillors.

On 9th February 2017 HIC wrote to Mr Simon Stevens who heads up NHS England as follows. Again copies were sent to all of the County’s MPs and all Cornwall & Isles of Scilly Council Councillors.

On 14th March HIC received the following response from Mark Cooke, Director of Commissioning Operations, NHS England South, South West.

On 24th March 2017 HIC responded to Mr Cooke with copies going to Mr Simon Stevens at NHS England. Copies were also sent to all MPs in Cornwall and all Cornwall & Isles of Scilly Council, Councillors.

On 15th March 2017 Cornwall Council’s Health & Social Care Overview & Scrutiny Committee resolved that the Draft Outline Business Case was

“NOT FIT FOR PURPOSE AND THE ENGAGEMENT PROCESS WAS POOR AND ILL JUDGED”

It is crystal clear that Cornwall Council and many other health campaigning bodies share HIC’s view on this Draft Outline Business Case. The fact that the STP Team are still proceeding with it as the basis for their Final Business Plan – due to be submitted to NHS England by DATE?? – shows that they have paid little attention, if any, to the adverse comments received from both Cornwall & Isles of Scilly Council and members of the public.

The NHS is funded by the public and the public continue to be totally ignored by the NHS.

Health Initiative Cornwall (HIC) wishes to make it very clear that when it talks about the NHS, in the context of STP’s, they are NOT referring to either its Doctors or Nurses. They are referring to the Managers who have been charged with running the NHS and who, as we all can now see quite clearly, are far from being capable in this respect.