About the STP

National context 

NHS England has asked all areas of the country to produce Sustainability and Transformation Plans (STPs). All 44 have now been published and are available via the NHS England website here.

These plans set out how local services will work together to improve:

  • The quality of services provided (including developing new models of care)
  • The health and wellbeing of the local population
  • The value and efficiency of services to address the national and local financial gap

The expectation is that STPs will help transform health and social care services and achieve better health and wellbeing for our population between 2016 and 2021.

It is acknowledged nationally that this will be a challenge.  The public sector is facing unprecedented pressure on budgets and the country has a growing population with people living longer with more complex health conditions.  

It is also recognised that growing financial problems in different parts of the NHS can’t be addressed in isolation. Instead, providers and commissioners are being asked to come together to manage the collective resources available for NHS and social care services for their local population.

The formation of STPs was first announced in late 2015 as part of NHS annual planning guidance.  Draft plans were produced in June 2016 and final drafts were submitted in October 2016 and published the following month. These plans are now going through a process of assessment, engagement and further development involving the public and key stakeholders.

Local context

Our STP looks at how we plan to improve the population's health, care and wellbeing whilst also ensuring that services are efficient, joined-up and provide the best value for public money.

Value for money and efficiency is important as, like many other areas of the country, Nottingham and Nottinghamshire is facing significant financial challenge. The demand for services is growing; this is because the population is increasing and it is also ageing. While it is good that people are living longer, this puts additional pressure on health and social care resources.

New treatments, therapies and equipment also cost more, adding up to a major gap between the money we have and the money we need. If we do not change the way we currently deliver services or make cost savings in our organisations, we could be facing a shortfall of funds by as much as £628 million across Nottingham and Nottinghamshire by 2021.

As well as working to address the three areas required nationally and identifying five local areas for priority focus, the STP partner organisations have also agreed a number of principles that will guide local changes in the planning and delivery of services:

  • People will be supported to be as independent as possible, both adults and children
  • People will remain at home whenever possible
  • Organise care around individuals and populations - not organisations - and deliver the right type of care based on people’s needs
  • Help people remain independent through prevention programmes and offering proactive rather than reactive care
  • Support and provide care for people at home and in the community as much as possible and ensures that hospital, care home beds, and supported housing are available for people who need them.
  • Work in multi-disciplinary teams across organisational boundaries to deliver integrated care as simply and effectively as possible.
  • Minimise inappropriate variations in access, quality, and cost, and deliver care and support as efficiently as possible so that we can maximise the proportion of our budget that we spend on improving health and wellbeing.
  • Maximise the social value that health and social care can add to our communities.