Sustainability and Transformation Plans (STPs) are 5 year plans that divide up England into 44 ‘footprint’ areas and call for a massive change to the NHS in each area. Despite claims that they are there to ensure regional health services better cater to local populations’ needs, they are in fact a way of cutting services to meet ever-dwindling budgets and allow easier privatisation of what is left.
The plans were developed in secret, with no public consultation. They include widespread cuts to acute services (hospitals), with people having to travel further and further to get the treatment they need. This is hidden by using obtuse, ‘managementese’ language (eg, ‘the wellness paradigm’). They mention ‘community care’ as alternatives when in fact the community does not have the capacity, funding or in some cases expertise to pick up the demand. Further cuts are being planned which go beyond the STPs in some areas even before they have been implemented, because the under-funding is so serious. STPs will also make it even easier to ‘contract out’ services to private suppliers, further undermining the NHS in that area.
Keep Our NHS Public is opposed to STPs. They are a way of breaking apart the NHS, not the regional improvement in integrated care they are proclaimed as.
You can find the details of the STP for your area on the Health Campaigns Together web site.
STPs and Five Year Forward View – the case of the missing evidence
John Lister’s political analysis of the 44 Sustainability & Transformation Plans, May 2017 here