London South Bank University May 2017
- The report is a commentary on how STPs are set up to deliver the level, pace and scale of change required, not on whether there should be STPs.
- This report critically reviews each of the 44 STPs in terms of how they stand as serious, coherent and achievable plans. Each was subject to the levels of rigorous appraisal you would expect for a set of NHS planning documents. The researchers were looking for clear expert evidence, how the plans matched population needs, the resources required, the key assumptions in the overall approach, and how local accountability operates across the footprint.
- Overall the report finds that the STPs are not ready for implementation, with the plans lacking a secure grounding in the current situation, and a robust evidence base to the changes proposed. Significant developments in the relationship between the NHS and Local Government are required and this will take time. The emphasis on reducing acute beds and A&E attendance will require local consultation.
- Legislative change is also required to free health and care from the constraints of the market to provide integrated quality care for local populations.
- Finally there is a significant funding shortfall, and a need for clear and robust workforce plans.
- The 44 sub-reports can be read here.
