Sustainability and Transformation Plans (STPs): What, why and where next?

Article

The NHS is facing one of the most challenging periods in its history, with a funding gap of more than £22 billion over the coming years. And the pressure on the social care system is more acute than ever, with many councils raising eligibility thresholds and making cuts to social care budgets.

Sustainability and Transformation Plans (STPs) – which are local health and care reform plans, authored jointly by NHS and local government leaders to improve outcomes and drive greater efficiency in their local area – are one of the government’s main responses to this problem. These plans rightly focus on decentralising power within the NHS, investing in leadership and relationships to drive improvements, and on local health and care organisations coming together to overcome the silos created by the 2012 Health and Care Act.

This report looks at the most promising reform solutions that have been correctly identified by STPs, and also sets out the range of challenges that stand in the way of them realising their vision for improved health and efficiency.

Related items

  1. Young male delivery cyclist working part-time, riding through city streets with food backpack on.

    Raising the bar: Strengthening living standards while banning exploitative zero-hours contracts

    Labour’s manifesto committed to banning exploitative zero-hours contracts as part of sweeping upgrades to workers’ rights.
  2. The Bank of England is watched over by a statue of the Duke of Wellington seated on his horse

    Beyond headroom: Why we need a better fiscal framework to fix the UK’s long term problems

    There has been long-standing debate about the UK’s fiscal rules and fiscal framework.  
  3. Drax coal fired power plant in North Yorkshire, UK with coal stack and Biomass storage tanks at sunset

    Financing carbon capture, usage and storage: The case for extended producer responsibility

    The government has run out of road on funding infrastructure through energy bills.