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.
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.
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.