Investment in NHS transformation projects

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.

Read more via NHS England

Additional link: RCGP press release

Health Education England: annual report

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.

Councillors’ perceptions of sustainability and transformation partnerships

Survey results strongly support the messages we have been hearing for months – STPs are largely excluding councillors from the STP planning process | LGA

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This document reports key findings from a survey of councillors carried out by the Local Government Association (LGA) between 6 April and 11 May 2017. The survey sought to  establish a clear national picture of local councillors’ views and experiences of their local Sustainability and Transformation Partnership (STP).

Single tier and county councils were targeted as they have adult social care and public health statutory duties, as well as a statutory duty to maintain a health and wellbeing board. Chairs of health and wellbeing boards and/or relevant portfolio holders, many of whom are also leaders or deputy leaders of councils, were invited to respond to the survey. A few additional respondents were also engaged through circulation of the survey in relevant online publications.

The survey was completed by 81 respondents from 68 councils, including two districts. Further information regarding methodology and respondents is outlined in appendix A at the end of this report. Council representation across regions and council types is outlined in appendices B and C.

Sustainability and Transformation Plans: What, why and where next?

The Institute for Public Policy Research (IPPR) has published Sustainability and transformation plans (STPs): what, why and where next

The NHS is facing one of the most challenging periods in its history, with a funding gap of more than £22 billion over the coming years. And the pressure on the social care system is more acute than ever, with many councils raising eligibility thresholds and making cuts to social care budgets.

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Image source: http://www.ippr.org

Sustainability and Transformation Plans (STPs) – which are local health and care reform plans, authored jointly by NHS and local government leaders to improve outcomes and drive greater efficiency in their local area – are one of the government’s main responses to this problem. These plans rightly focus on decentralising power within the NHS, investing in leadership and relationships to drive improvements, and on local health and care organisations coming together to overcome the silos created by the 2012 Health and Care Act.

This report looks at the most promising reform solutions that have been identified by STPs, and also sets out the range of challenges that stand in the way of them realising their vision for improved health and efficiency.

Download summary here or full report here

 

STPs will need a change in law to succeed, says report

A report from London Southbank University argues that in order to deliver a better future for the NHS, all 44 STPs would need to be given legislative powers and support necessary to achieve effective collaboration, plus some much-needed clarification on their role | NHS England

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Image source: LSBU

We commissioned this report as a reality check on the Sustainability and Transformation Plan process as a whole; to provide an opportunity for review; and to reconvene around the issues that need a sub-regional approach.

This report is a significant contribution to the myths and realities of the Sustainability and Transformation Plans and the process of their development. By starting from the actual situation in each STP footprint, this report grounds the plans in the reality of the local context, and provides a firm basis for any collective decision-making. Many of the STPs (the documents) are not clear about the full extent of the current situation (the baseline from which they are making their plans), which makes the collective STP leadership task extremely difficult.

 

STP governance and engagement

NHS Clinical Commissioners and NHS England have published CCG lay members, non-executive directors and STP governance and engagement. 

This briefing brings together ideas from four workshops organised in February 2017 for lay members on CCG governing bodies and non-executive directors from NHS Trusts.  The report reflects the discussions that took place on issues such as the importance of governance and accountability and developing working relationships across STP footprints.

The report also sets out some recommendations from NHS England and NHS Improvement which include:.

  • Consider a central online resource showcasing examples of national good practice.
  • Consider the governance and engagement issues relating to the development of accountable care systems.
  • Take a coordinated approach to embedding the role of lay members and NEDs in sustainability and transformation partnerships.

It also includes next steps and actions for lay members/NEDs, national bodies and STP leads which are intended to support the successful implementation of STP and new models of care.

Read the report here