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Sustainability and Transformation Plans Rachel Pearce, Director Commissioning Operations South Central March 18 th 2016 Key messages from Planning Guidance The Spending Reviews 8.4 billion real terms increase for the NHS by 2020/21


  1. Sustainability and Transformation Plans Rachel Pearce, Director Commissioning Operations South Central March 18 th 2016

  2. Key messages from Planning Guidance • The Spending Review’s £8.4 billion real terms increase for the NHS by 2020/21 provides a credible basis on which to health and  implement the Five Year Forward wellbeing View; gap  restore and maintain financial balance; and  deliver core access and quality standards for patients. finance care and and quality efficiency gap • With these resources, we now need to gap close three gaps: 2

  3. Health and care systems must develop a 5-year Sustainability and Transformation plan (STP) by June 2016 The STP is a place-based, strategic plan demonstrating how, as a health and social care system, we will: 1. Close the health and wellbeing gap 2. Drive transformation to close the care and quality gap 3. Unlock resources to invest in meeting the challenges of future demand, while achieving and maintaining financial balance, while still delivering on the first two This requires a step change in how the health and care system works together – in having a common understanding of future service models and in identifying a level of collective saving over 5 years far higher than the NHS has ever delivered

  4. South region – STP Footprints 36 32 Kent and Medway 33 Sussex 34 Frimley 43 44 35 Core Surrey 36 Cornwall and the Isle of Scilly 39 34 Success Regime area – 40 37 Devon NEW Devon (not South 32 35 Devon and Torbay) 38 Somerset 42 38 33 39 Bristol, North Somerset, South 41 Gloucestershire (BNSSG) 37 40 Bath, Swindon, Wiltshire (BSW) 36 41 Dorset 42 Hampshire and the Isle of Wight 43 Gloucestershire 44 Buckinghamshire, Oxfordshire, Berkshire (BOB)

  5. Buckinghamshire, Oxfordshire and Berkshire West CCGs have formed an alliance to develop Sustainability and Transformation Plan(s) The BOB alliance comprises of 10 CCGs and Provider Trusts operating through 4 local health economies - Buckinghamshire, Oxfordshire, Berkshire West and Berkshire East. Providers, clinicians, patients and local authorities will be engaged in the local health economies. The initial projects and workstreams include: – Urgent and emergency care – Specialised commissioning – Workforce Resilience – Digital Innovation – PLCV/IFR/clinical thresholds – Primary care provider development – CSU procurement – Provider landscape strategic oversight

  6. The STP will cover a number of different footprints Services designed/planned on an England-wide footprint (Highly Specialised Services) e.g. liver transplant services, enzyme replacement therapy, and secure forensic mental health services for young people Northamptonshire Warwickshire Services designed/planned Alliance+ footprint Buckinghamshire Gloucestershire (specialised commissioning) Oxford e.g. chemotherapy, radiotherapy, complex rehabilitation shire Avon Berkshire Wiltshire Services designed/planned on a Buckinghamshire Buckinghamshire, Berkshire and Oxfordshire Oxfordshire Alliance footprint e.g. urgent and emergency care network; development of the Berkshire integrated clinical hub and 111 STP footprint Services designed/planned on a CCG footprint e.g. planned care, maternity Services designed/planned on a locality- footprint e.g. new models of care; customisation of CCG models fro long-term conditions,

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