As the political crisis tips over into a full blown constitutional crisis, the NHS in England remains highly susceptible to the ditching of constitutional conventions.
Read More44 Sustainability and Transformation Plans (STPs) are being implemented across the NHS in England to move a large portion of care out of hospitals into community settings, both to make them more accessible and to address a shortfall in government funding that is expected to reach £22bn by 2020. CHPI has followed this project from the start and will continue to probe its assumptions and monitor its implementation.
This document contains the response to a Freedom of Information request we submitted to NHS England in June of 2019 asking for details of the legal status of Sustainability and Transformation Plans and the appointments process for the Leads and Chairs of STPs.
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Difficulties in obtaining complete and reliable data from STP teams regarding transition planning reflect the inherently unaccountable nature of the STPs themselves.
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This analysis identifies five key questions to be asked of each of England’s 44 Sustainability and Transformation Plans.
Read MoreThe Appendix (technical notes) for Vivek Kotecha’s paper on STPs and whether they can deliver the NHS FYFV.
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Closing A&E departments has led to a deterioration in the performance of those that remain in North West London. This analysis warns of the risk to patients if further A&Es are closed.
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This report reviews the changes proposed for ‘Transforming Services Together’ in Newham, Tower Hamlets and Waltham Forest as part of the North East London STP – assessing the impact on East London’s patients and whether the plan is likely to work.
Read MoreJohn Lister assesses the published drafts of the plans for implementing the Five Year Forward View published by NHS England in 2014.
Read MoreThis analysis looks at why the Sustainability and Transformation Fund is not sufficient to eliminate the providers’ deficit in 2016/17, and what the implications of its insufficiency are for providers who accept the funding, and for the NHS in general?
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A balanced assessment is required if the opportunities presented by the Sustainability and Transformation Plans are to be seized upon.
Read MoreThe idea that more competition would improve the NHS is history. But what are the challenges for an approach based on partnership and collaboration?
Read MoreThis analysis asks how far the new Sustainability and Transformation Plans being drawn up by ‘local health economies’ or ‘footprints’ can be expected to overcome the impending financial crisis of the NHS. It also draws attention to the apparent lack of a legislative basis for the planning process, and a corresponding lack of transparency and accountability.
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