Making STPs a Reality: Action to Deliver Better Care is being organised in partnership with Blue Stream Academy to help organisations drive better quality and more sustainable health care services and explore how to collaborate to deliver improved population health and wellbeing.
The NHS, care providers and local councils are coming together in 44 local areas to develop plans to make improvements to health and care. These placed-based proposals are being built around the needs of local populations and aim to transform the way care is delivered. This event will help care providers and commissioners ensure that services better meet the health needs of their local area.
Implementing local plans and new models of care are taking place against a backdrop of unprecedented and significant pressure in the health and care system. Increasing service demand and tight NHS finances mean that delivering improvements is more challenging than ever before. A recent NHS Improvement report showed that 135 providers ended the quarter in deficit with a sector deficit total of £886 million. Care providers now need to collaborate rather than compete. Local plans aim to deliver more integrated models of care to meet the changing needs of population health and wellbeing. Different parts of the NHS, local authorities and social care system need to work together to provide more co-ordinated care and services.
Every health and care system in England has been tasked with implementing a multi-year Sustainability and Transformation Plan (STP). STPs will become the single application and approval process for accessing NHS transformation funding, with the best plans receiving funding allocations first. Getting the approach right to local plans is key to making the vision a reality, ensuring changes drive better health outcomes, better patient care and sustainable transformation in service delivery. Our interactive and engaging conference Making STPs a Reality: Action to Deliver Better Care will support care providers, commissioners and local councils improve health and care in their area.
Sustainable Transformation Plans (STPs) represent a significant shift in the way health and social care services are planned and delivered. Rather than provider competition strengthening choice and quality of care NHS organisations have been instructed to deliver place-based planning that co-ordinate a range of services and providers around patient needs. This means different parts of the NHS and social care system working collaboratively in order to meet the challenges facing local services. This shift in thinking recognises the growing financial, demographic and workforce pressures affecting the NHS that cannot be addressed in isolation. Care providers, commissions and supporting agencies need to collectively manage the combined resources for NHS Services for their local population. STP footprints commonly cover large areas and involve many different organisations and providers, each with their own priorities, challenges and cultures. So how can local plans be developed in practice so that collaboration and integration is embedded in the local care system and benefits, such as improved patient outcomes or financial savings, are realised?
All STPs include proposals to strengthen primary and community services and to integrate NHS and social care more closely. An additional £390 million over three years has been allocated to delivering STPs in the spring budget so that plans can be progressed. The key themes in STPs include strengthening prevention and early intervention; improving mental health and other services such as cancer; changing the role of acute and community hospitals; developing organisational arrangements to support ambitions to transform services; and developing productivity and tackling unwanted variations in care. STPs also give attention to the changes needed in NHS infrastructure, such as IT systems and NHS buildings. New models of health and social care also need to recognise workforce development and skills capacity, there are ambitions to improve staff recruitment and retention, reduce agency costs, and develop new skills and roles that can deliver more integrated care. In order to reduce demand on acute services there are opportunities to manage care more effectively in the community by redesigning primary care and commissioning community services that closely integrate health and social care. STPs are actively encouraging GPs to work together at greater scale and deliver a wide range of services in the community.
Although local plans outline NHS ambitions to improve the health and wellbeing of the populations they serve they have not been without controversy. Plans have been criticised for cutting front-line services, not involving the public or patients and primarily focused on reducing NHS budget deficits rather than transforming the way care is delivered. There is pressure on local STP leaders to show how plans will bring NHS finances back into balance alongside detailing how plans will be delivered in practice. Immediate priorities will be to equip staff with the skills and resources needed to implement the improvements in care outlined in the local plans. Leadership and governance of STPs at a local level will also need to be strengthened to drive through required change, the challenge ahead is how to now make the plans a reality.
Making STPs a Reality: Action to Deliver Better Care will support care providers, commissioners and local councils improve health and care in their area. Our conference agenda has been designed to help organisations drive better quality and more sustainable health care services and explore how to collaborate to deliver improved population health and wellbeing.
Registration and Coffee in the Networking Area
Local reform agendas need to add value to patients' outcomes. As care is developed more around increasing patients' levels of activity and involvement in planning their care goals, care agencies need to invest in community-based care centres and in delivering integrated care programmes. At the same time, the state is investing in Big Science and Big Data. The impact will be more rapid and precise diagnostic and imaging, and more personalised medicines which will change the efficacy of therapeutics. Our discussion will focus on the impact such changes will have on patients, the workforce, and the clinical informatics that support clinical decision-makers.
An exploration into some of the most frequent patient access struggles:
Discussing the latest Health Secretary announcement to roll out a state backed indemnity scheme for primary care, and what this means for practices when considering indemnity solutions.
STPs were announced in NHS planning guidance published in December 2015. NHS organisations and local authorities in different parts of England have come together to develop 'place-based plans' for the future of health and care services in their area. Draft plans were produced by June 2016 and 'final' plans were submitted in October. "But what do STPs really mean? And what will they mean for the NHS and for local populations?" (Kings Fund - Sustainability and transformation plans (STPs) explained updated Feb 2017)
NHS England's analysts have overseen a detailed programme of evaluation and analysis of the new care models vanguards programme. Much has been learned about how to undertake the evaluation of system level change and this is highly relevant for STPs as they progress with their plans. This presentation sets out the rapid cycle evaluation approach which has been used in the new care models programme showing how it can be used elsewhere.
Roland will be talking about some of the challenges and practical issues that STP transition will require in order to move the systems in one of the biggest shake ups in NHS transition. This will include such items as workforce training, Community Education Provider Networks and building new models of care, indemnity for primary care, contracting and the interactions with Primary Care Home.
My mHealth are the UK's leading supplier of digital long-term condition apps for patient self-management. The apps work seamlessly with a clinical interface to enable the remote monitoring, and care for patients at a population level. We discuss how we enable, and activate whole clinical systems to deliver high quality, evidenced based care at an industrial scale.
Building on recent research from The King's Fund, Richard will set out the opportunities and challenges for STPs as they begin the move to delivery and attempt to simultaneously deliver the Five Year Forward View and manage the financial and operational challenges currently facing the NHS.
Although local plans outline NHS ambitions to improve the health and wellbeing of the populations they serve they have not been without controversy. Plans have been criticised for cutting front-line services, not involving the public or patients and primarily focused on reducing NHS budget deficits rather than transforming the way care is delivered. What should priorities be for ensuring the vision for better care are made a reality?
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