Sustainability and Transformation Plan

Partly to get my head around what this entails after  an e-mail from Andrew Barton at BMA I have blogged today about STP’s. I would agree the abbreviation is a bit close to STI’s but I am sure the “powers that be” at NHS England took that into account. A bit like the Chelsea and Westminster Hospital was originally going to be the Westminster & Chelsea until it was pointed out the possible abbreviation !

So what are STP’s ?

In order to deliver the  Five Year Forward View vision in addition to individual operational plans, every health and care system will work together to produce a multi-year Sustainability and Transformation Plan (STP), showing how local services will evolve and become sustainable over the next five years.

Local health and care systems will come together in STP ‘footprints’ . Within these geographic footprints health care organisations will work together to narrow the gaps in the quality of care, their population’s health and wellbeing, and in NHS finances.

Full details

North Central London is one of 44 STP’s covering in their case a population of 1.4 million and 5 CCG’s


The letter sent to Trust Chief executives

 Information Sent by BMA (Andrew Barton)

STP leads. Following the development of five Sustainability and Transformation plan areas in London we now have the names of those leading the plans and overseeing the implementation of the plans over the next few years:

  • North Central London – David Sloman (Chief Executive, Royal Free London NHS Foundation Trust
  • North West London – Dr Mohini Parmar (Chair, Ealing CCG)
  • North East London – Jane Milligan (Chief Officer, Tower Hamlets CCG)
  • South East London – Amanda Pritchard (Chief Executive, Guy’s and St Thomas’ NHS Foundation Trust)
  • South West London – Kathryn Magson (Chief Officer, Richmond CCG)




Pulse and GP Online report that the BMA has published its “urgent prescription to general practice” to turn around the crisis facing general practice. BMA GP committee chair Dr Chaand Nagpaul said GPs were calling for “both urgent and sustained action to resolve the current crisis”. The document sets out a series of policy proposals to be implemented as part of a rescue package to provide long-term sustainability for general practice as Dr Nagpaul said: “There is no single, silver bullet to solve the crisis in general practice, and these multifaceted proposals will form the basis of BMA’s call on the government and NHS England to urgently rescue general practice from its parlous state today, while developing a sustainable service for the future.” The document comes in response to the “clear message” sent at the special LMC conference in January as Dr Nagapul notes: “Fundamentally, it calls for a reversal in the decline in funding for general practice to ensure it has the resources to cope with escalating demand and provide GPs with the space and time to provide high-quality, safe patient care.”

Medical leaders have called for emergency conference to be held in May to discuss solutions to funding and workforce crisis across the UK health service as GP Online reports that BMA council chair, Dr Mark Porter, said: “Doctors from across the UK have called on the BMA to hold a meeting in response to the crisis in funding and capacity in healthcare, and the effect these have on both patient safety and doctors’ ability to help patients.”

 A comment piece in the Financial Times questions how politicians have poisoned statistics as they note that the figures Hunt cited during the junior doctor contract dispute regarding weekend deaths did not add up as they note: “In parliament in October, Hunt was sticking to the 15 per cent figure, but the 6,000 deaths had almost doubled.”    – BMA Comms

BMA related news stories online (I have taken out links requiring payment)

How many deaths before mixed martial arts is banned? Guardian, Friday 15 April 2016,

Sir Bruce Keogh bragged life was fantastic after giving up weekend work

Daily Mirror, Friday 15 April 2016,

Care of sick children at risk as trainees put off profession

Guardian, Friday 15 April 2016

 BMA demands urgent investment to stop GP crisis GP Online, Thursday 14 April 2016

GPC calls for limit on number of patients seen daily Pulse, Thursday 14 April 2016,

Will a full walkout really mean Armageddon?  BBC News, Thursday 14 April 2016,