Sustainability and Transformation Plan (STP)
Health and care service providers and commissioners have worked together across West Yorkshire to develop a Sustainability and Transformation Plan (STP) – otherwise known as the West Yorkshire and Harrogate Health and Care Partnership.
The plan sets out how services across the area will work together over the next five years to improve our collective population’s health and wellbeing, to improve service quality and to deliver financial stability.
Our Local Digital Roadmap will grow organically alongside the STP and is integral to the plans detailed within it.
Why do we need a Sustainability and Transformation Plan?
As our population continues to grow and people are living longer, often with long-term health conditions, the increasing demand being placed on our health and care services is not in line with available funding.
At the same time, health inequalities are widening, with certain groups of people more likely to develop certain diseases and more likely to die from them early. We also know that differences in patient experience exist, with some areas benefiting from better quality health services than others.
Here in Greater Huddersfield, patients are facing long waits for hospital outpatient appointments and treatments in certain specialities and the A&E department at our local hospital is often under pressure. We also face significant financial challenges locally over the coming years.
The NHS Five Year Forward View sets out how health services across the country need to change in order to improve public health and the quality of services and to make sure that there is financial stability by 2020/21.
This doesn’t mean doing less for patients, or reducing the quality of care provided. It means introducing more preventative care – finding new ways to meet people’s needs and identifying ways that existing services and organisations can work together to do things differently.
The West Yorkshire and Harrogate ‘footprint’
Greater Huddersfield is part of the West Yorkshire and Harrogate ‘footprint’ which covers a population of 2.6 million people and includes the following partner organisations:
Clinical Commissioning Groups:
- NHS Airedale, Wharfedale and Craven CCG
- NHS Bradford City CCG
- NHS Bradford District CCG
- NHS Calderdale CCG
- NHS Greater Huddersfield CCG
- NHS Harrogate and Rural District CCG
- NHS Leeds North CCG
- NHS Leeds South and East CCG
- NHS Leeds West CCG
- NHS North Kirklees CCG
- NHS Wakefield CCG
- Bradford Metropolitan District Council
- Calderdale Council
- Craven District Council
- Harrogate Borough Council
- Kirklees Council
- North Yorkshire County Council
- Leeds City Council
- Wakefield Council
- Airedale NHS Foundation Trust
- Bradford District Care NHS Foundation Trust
- Bradford Teaching Hospitals NHS Foundation Trust
- Calderdale and Huddersfield NHS Foundation Trust
- Harrogate and District NHS Foundation Trust
- Leeds Community Healthcare NHS Trust
- Leeds and York Partnership NHS Foundation Trust
- Leeds Teaching Hospitals NHS Trust
- Locala Community Partnerships
- The Mid-Yorkshire Hospitals NHS Trust
- South West Yorkshire Partnership NHS Foundation Trust
- Tees Esk and Wear Valleys NHS Foundation Trust
- Yorkshire Ambulance Service NHS Trust
Other organisations involved:
- NHS England
- Public Health England
- Healthy Futures – cancer workstream
- Healthwatch Kirklees
Together, these organisations and providers are reviewing local plans to identify gaps and issues that would benefit from West Yorkshire-wide solutions.
The main focus of the West Yorkshire and Harrogate Sustainability Transformation Plan is the work of the local plans. However, where there are overlaps across geographical areas and themes, they will work together.
The following nine priority areas have been identified and will form the basis of the West Yorkshire STP:
- Acute collaboration
- Mental health
- Prevention ‘at scale’
- Primary and community care
- Specialised commissioning
- Standardisation of policies
- Urgent and emergency care
Central funding for local transformation
In December 2015, NHS planning guidance set out a new approach to help make sure that health and care services across the country are planned for the people they serve, rather than around individual organisations. In addition, the plans will run over a period of five years, rather than just a single year. Central to this guidance is the design and delivery of STPs.
NHS England has created 44 STP areas (‘footprints’) each of which bring together several CCGs and cover populations of between one and two million people. These footprints incorporate all health and care organisations within each area.
For the first time, local NHS planning will receive funding from a national Sustainability and Transformation Fund – £2.9 billion in 2017/18, rising to £3.4 billion by 2020/21.
STPs will be the single application and approval process for local health systems to access money for initiatives such as: improved access to GP services; diabetes prevention; support for people with learning disabilities; and improved cancer and mental health care.
Building on existing local plans
Here in Greater Huddersfield, local plans for making general practice more sustainable have been outlined in the Greater Huddersfield Primary Care Strategy which can be viewed here.
Our local plans for developing care outside of hospital, acute services reconfiguration and working more closely with council and community partners are outlined in the CCG’s 2016/17 Operational Plan available here.
A five year strategic plan for Kirklees will be published in the near future. You can read our existing plan here.
The STP is an opportunity to build on these local plans over a wider geographical area and to look at what programmes could be improved if we teamed up with neighbouring CCGs, local authorities and NHS providers to deliver them together.
It will also provide an opportunity for joint working with public health teams across the region. For example, on smoking cessation and raising public awareness of NHS Health Checks and cancer screening programmes.
Patient and public involvement
When planning or buying local health services, we must take the views of local people, patients and carers, as well as the people who represent them, into account. Any proposals for changes to health services in Greater Huddersfield will be subject to our usual engagement and consultation processes.