Sustainability and Transformation Plans (STPs): What, why and where next?
Article
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
One year in: the government is making decent down payments for the years ahead
It’s fair to say it hasn’t been a straightforward first year for the government.Britons back local leaders with fiscal firepower
“Death and taxes,” they say, are life’s only certainties. But there’s a third - wherever taxes are controlled, power lies.Filling the funding gap: at what cost to Scotland’s public services?
Last week the Scottish government published its delayed Medium Term Financial Strategy (MTFS) which ‘provides the economic, funding and spending outlooks for the financial years 2025/26 to 2029/30’ and ‘the Government’s fiscal strategy to…