34. Frimley Health
What concerns have been raised about your STP?
Health planners are trying to reduce NHS deficits and think about ways to re-organise care. However getting the large deficit under control could prevent facilities being developed that can cope with the health and care social needs of local people.
Major changes will take place in primary care, where 14 large-scale GP hubs will be developed and phased in by 2018.
Magnolia House and King’s Corner health centres will be replaced by the new Sunningdale medical centre.
Changes in who organises our care
Frimley Health is to be an accountable care system, under which barriers between primary, secondary and social care will be broken down.
What are the proposed aims of the STP?
- Elimination of a projected 2020/21 deficit of £236 million;
- To redesign urgent and emergency care, including integrated working and primary care models;
- Reduction in A&E visits and hospital admissions;
- To increase prevention, self-care and early detection;
- Overall the STP aims to make savings by investing in primary care to reduce A&E visits and hospital admissions.
Like other areas this STP aims to transfer services out of hospital and into the community. The concern is that cuts in hospital care will be made, helping to achieve savings, but without proper investment in community health services.
The changes in the STP are projected to lead to savings of more than £65 million over the next four years if the plan is successfully implemented. These savings are dependent on health providers making efficiency savings of 3% per year. In addition the STP projects that broader efficiencies from social care will deliver about £176 million savings by 2020-21.
There will be changes to the workforce with the creation of new roles, such as health coaches, care navigators, clinical pharmacists and integrated mental health leads working alongside mental health clinical staff and general practitioners.
The STP also outlines the creation of a shared electronic care record.
The STP states that Frimley needs an extra £20 million more than the funding of £47 million it will receive from the sustainability and transformation fund.
Frimley STP is one of the first eight “accountable care systems”, and will be given control of a share of up to £450m in transformation funding. According to an article in the HSJ in June 2017, the ACS's have ”agreed with national leaders to deliver fast track improvements” and in return will receive “more freedom on decisions over how the health system in their area operate”.
The major changes in the STP are in the area of primary care, where 14 large-scale GP hubs will be developed and phased in by 2018.
The 14 hubs are likely to be based in Farnham, Fleet, Farnborough, Aldershot, Yateley, Surrey Heath, Bracknell and Ascot, the Royal Borough of Windsor and Maidenhead, and Slough.
The GP hubs will create “single points of access” for social, mental and physical health care. Physiotherapy will also be offered in general practice, which the STP expects to lead to a 20% reduction in physiotherapy and secondary care referrals.