Understanding the transformation footprints of health and care economies

Considerations for determining local health and care economies
Monitor 24 December 2015

• Every health and care system is required by planning guidance (Delivering the Forward View: NHS planning guidance 2016/17 to 2020/2) to produce its own sustainability and transformation plan (STP) for October 2016 to March 2021. Systems are required to agree their transformation footprint (the geographic scope of their STP) by 29 January 2016,
• Monitor has prepared geographical maps and resources that may help discussions the different parties determine their planning footprints
• The accompanying Excel spreadsheet provides a table that maps the administrative boundaries of relevant organisations including
• NHS commissioning regions
• specialised commissioning hubs
• clinical senates
• NHS England strategic clinical networks
• NHS England sub regional teams
• system resilience groups
• Local authorities
• CCGs
• The document includes detailed maps and for each Clinical Senate.

Achieving 7 day services across East Midlands

East Midlands 7 Day Services project: Acute Collaborative Report
by Atos Consulting for East Midlands Clinical Senate, November 2014

• In early 2014, the ten East Midlands acute trusts embarked on an unprecedented data-gathering exercise to look at current provision against the ten 7 day services clinical standards for urgent and emergency care and supporting diagnostics, assess the gaps, and identify opportunities for filling those gaps in the short and longer term.
• Each trust has produced its own report into gaps in service and how to fill these, and this report highlights the strategic and operational opportunities and areas of current good practice.
• Key information for commissioners: 
• A major cultural shift is needed towards a system that delivers high-quality, robust services irrespective of time or day of the week. This project highlights options and recommendations which aim to provide additional thought for commissioners, who can be influential in driving the collaboration agenda.

Role of Clinical Senates

Way Forward: Clinical Senates.
NHS CB, 25 January 2013

• Clinical Senates will be established across the country from April 2013 to play a unique role in the commissioning system by providing strategic clinical advice and leadership across a broad geographical area to (CCGs), health and wellbeing boards and the NHS Commissioning Board.