42. Hampshire and the Isle of Wight

What does the STP mean for your area?

The STP proposes a cut of 300 beds in the acute sector.

It will also reduce the size of its physical estate by 19% and estate costs by £24 million.

It is likely that some services will move from St Mary's hospital on the Isle of Wight to the mainland, increasing the number of people needing to be ferried to hospitals in Southampton and Portsmouth.

The Isle of Wight council has concerns over endorsing the STP and former consultant Dr Iain Maclennan criticised the plan as "a thinly veiled attempt to introduce further cuts."

What are the proposed aims of the STP?

  • Elimination of a projected 2020/21 deficit of £577 million;
  • Increased co-ordination of primary care with more specialist care in primary care;
  • Simplification of the urgent care system;
  • Reduction in the number of beds in the acute sector;
  • Increased investment in prevention and self-care;
  • Overall, the STP aims to move care away from and reduce the acute sector by increasing care in the community sector.

Further information

Hospitals

A review is being undertaken of acute services in North and Mid Hampshire that will result in a reconfiguration. This is designed to save £60 million by 2020/21.

Primary Care

The STP proposes "integrated primary care hubs" which will have "multiprofessional primary care teams with extended skills", with the aim to reduce the use of the acute sector.

Controversy

The retired GP said the sustainability and transformation plan (STP) was "full of wonderful fluffy bits of jargon which on the face of it sound positive, but unfortunately a lot of these words are just a code for cuts".

The Isle of Wight council Health and Adult Social Care Scrutiny Sub Committee raised concerns at a meeting of 12 December 2016.  Members suggested that 'the STP was being forced through with little involvement from local government or consultation with Island residents.  It was acknowledged that there was a lack of detail in the plan .... It was suggested that the STP failed to address preventative measures and represented a reactive model. ....... it would be recommended to the council’s executive that the STP should not be endorsed. ..... there was a lack of detail within the plan and it did not clearly outline the implications of the proposed changes.'

Following an earlier meetings of the Health and Social Care Scrutiny Sub Committee of  11 and 17 October 2016 and a subsequent Executive Meeting of 24 October 2016 John Metcalfe, Chief Executive published a response to the Hampshire and Isle of Wight STP which included the following:

'The Committees were disappointed, the timescales to produce the plan, dictated by NHS England, did not give sufficient weight to the democratic process allowing it the opportunity to consider the final plan, or debate the issues it raises in a public forum, and did not appear to conform to the best practice guidance (for example Engaging Local People - NHS September 2016).'