43. Gloucestershire

What does the STP mean for your area?

The lack of detail in the STP has been of particular concern, with full plan expected late 2017.

82 GP surgeries in the county will be merged into 16 GP hubs.

There are fears surrounding possible hospital bed cuts.

Stroud Against the Cuts has written to all councillors, arguing the plan’s budgets are “riven with holes” and provide no information on projected changes to staffing levels, number of beds, asset sell-offs, or deficits of the NHS Trusts."

They fear that behind closed doors the full plans hold details on “further cuts and sell-offs” to the county’s “much loved and vital hospitals”.

The STP needs £150 million capital, but campaigners have pointed out that the STP contains no mention of where this money is coming from.

What are the proposed aims of the STP?

  • Elimination of a projected 2020/21 deficit of £226 million;
  • Development of urgent care hubs to act as a single point of access to health and social care;
  • Redesign of primary and community services;
  • Increased focus on prevention and self-care;
  • Overall, the STP aims to reduce the use of the acute sector, by reducing A&E visits and hospital admissions, and move care into the community

Further information    

The STP does not include details of how the deficit is going to be eliminated and services maintained.Campaigners have been highly critical about the lack of figures in the STP document.

The STP includes the following:

  • Implementation of a new MSK model with clear pathways across primary and secondary care;
  • Changes to cancer pathways with a new community based survivorship model;
  • Implementation of an eye health clinical programme including delivery of new community eye health services;
  • Development and implementation of new pathways for respiratory and dementia care;
  • Development of an integrated specialist perinatal health service;
  • Systematic review of key programmes of care.

Urgent Care

In urgent care, the STP includes the development of urgent care hubs at key locations in the footprint, providing a single point of access for health and social care.

Primary care and community care

The STP discusses the design of new models of care that will increase integration between primary and community care but with few precise details. The STP does note, however:

  • The increased collaboration of GP practices to cover 30,000 plus population areas;
  • An increase in patients able to access primary care online or via apps, with a target of 10% by the end of 2017 and 95% by 2021;
  • That by 2021 the STP's aims is to have  35 additional pharmacists qualified as prescribers working in practices, 65 additional GPs and 45 whole time equivalent advanced/specialist nurses.