This report explores the accountability and performance management arrangements for CCGs and looks at the implications of STPs and accountable care systems for these| The Nuffield Trust
The NHS has developed systems to hold both providers and commissioners of NHS services to account. These have arguably become more complex with the introduction of 44 sustainability and transformation partnerships (STPs). This report from the Nuffield Trust draws on analysis and insights from the current system, and explores the challenges and opportunities presented by STPs for accountability in the NHS. It is based on 13 interviews with senior CCG leaders and NHS England policy makers which took place in September 2016.
The report also explores how commissioners and providers respond to different approaches to accountability and performance management. The report then considers the implications of this learning for the future development of STPs, accountable care organisations and accountable care systems.
This document examines governance arrangements within Sustainability and Transformation Partnerships, accountable care systems and new models of care. It includes a diagnostic tool which can help highlight where robust arrangements are already in place and where more work is required.
Supporting providers: STPs and accountable care | NHS Providers
NHS Providers are working to develop a programme of support that helps provider organisations adapt to the challenges and opportunities presented by the move to accountable care.
The programme, Supporting Providers: STPs and accountable care, will be developed in close collaboration with NHS trusts over the next six weeks. The programme aims to ensure there is the right support and a strong advocate making the case for NHS trusts as they move to accountable care structures that deliver more integrated care for the public.
Elements to support trusts will include:
Developing new and effective relationships with local authorities, primary care and commissioners
Responding to specific challenges such as moving care closer to home, prioritising mental health, workforce strategy and getting the most out of the NHS estate
Exploring new ways to support change, identifying “enablers” including new approaches to contracting, different financial flows, adopting risk stratification and whole population health management approaches, and developing STP level governance arrangements.
Leading Large Scale Change: A practical guide | NHS England Sustainable Improvement Team | NHS England Horizons Team
This guide from NHS England has been produced to help all those involved in seeking to achieve transformational change in complex health and care environments. This is a fully revised update of the original 2011 publication, responding to current health and care policy and practice, and introducing new concepts, tools and techniques to help deliver successful large scale change. It is relevant to all those involved in transformational change programmes such as Sustainability and Transformation Partnerships (STPs) and the development of new care models, and has relevance across public services.
The publication includes:
Updates on the leading transformational change models
The latest thinking from national and global improvement
experts and change leaders
New tools, techniques and tips to help effectively progress
large scale change programmes
Case studies and learning that will help leaders and
change agents in health and care and across public
Signposting to a host of new online resources including
videos, presentations and digital media links.
Sustainability and transformation plans in London: an independent analysis of the October 2016 STPs | The Kings Fund | Nuffield Trust
This report looks at the five Sustainability and Transformation Plans in London, their contents and common themes. The authors, from The King’s Fund and the Nuffield Trust, assess the main issues and risks to be addressed across the plans. They make a small number of recommendations for the future of the STP process in London, focusing specifically on the role of London-wide action in taking forward the plans. The report includes a brief update on progress since March 2017.
Secretary of State for Health and NHS England have announced £325m of capital investment for local projects that will help the NHS to modernise and transform care for patients.
Patients will see this investment deliver faster diagnosis for conditions like cancer, easier access to mental health care, expansion of A&Es, shorter waits for operations, and more services in GPs surgeries. This initial tranche of funding has been targeted at the strongest and most advanced schemes in STPs.
Annual report and accounts for Health Education England for 2016 to 2017.
The fourth HEE Annual report outlines the achievements over the last year: outlining
how HEE continue to help improve the quality of care for patients by focussing on and investing in the education and training of the workforce which delivers that care,
now and in the future.
This vision of higher quality care is articulated in the Five Year Forward View (5YFV), which HEE co-created and now helps deliver nationally, regionally and locally through Local Workforce Action Boards (LWABs).
LWABs are where the workforce issues of Sustainability and Transformation Plans are worked through together with HEE’s partners; making sure the right conversations happen with the right people at the right time.