9. South Yorkshire and Bassetlaw
What does the STP mean for your area?
All Sheffield hospitals are under review as health bosses try to find £232 million in savings.
Merging of A&E, walk in centre and GP out-of hours into a single integrated Emergency Centre in Rotherham.
Closure of Rotherham Institute for Obesity due to a lack of funds.
Cutbacks at the children's ward at Bassetlaw Hospital; the ward will be closed to new admissions overnight and at weekends due to staffing shortages. 10,000 people have joined a campaign in opposition to the move.
The STP has been criticised by Bassetlaw MP John Mann who told Parliament that the plans designed to close a £571 million budget black hole are a “smokescreen for cuts”.
Sheffield City Council has criticised the plans for lacking transparency and for not involving the public enough in discussions. (More information below)
What are the proposed aims of the STP?
- Elimination of a projected deficit in 2020/21 of £571 million;
- Development of accountable care organisations (ACO) in the footprint area;
- Increased emphasis on preventive health;
- Simply urgent and emergency care pathways;
- Integration of health and care services.
The published STP was light on details of changes that the area will undergo, but since then more information on new care models for the area have been released. The STP mentions that development of accountable care organisations is underway across the region, but they were at different stages of development in Barnsley, Doncaster, Rotherham and Sheffield. In June 2017, Simon Stevens announced that South Yorkshire and Bassetlaw STP will be 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, 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”.
According to the STP new models of care are being developed for several clinical areas, including hyper acute stroke services, children's services and anaesthesia services, vascular services, specialist mental health services and chemotherapy.
A review is also looking at staff numbers and patient attendances while establishing what is ‘unsustainable’.
The STP does not contain exact details on the changes planned for hospitals in the area, but the plans will need a capital investment of £200 million.
There are consultations about stopping childrens operations in Barnsley, Chesterfield and Rotherham.
A consultation is ongoing on hyper-acute stroke care in Barnsley and Rotherham; it is likely that the hospitals will no longer provide hyper-acute stroke care.
Changes to primary care focus on prevention and early intervention in order to reduce A&E visits and hospital admissions. The STP includes plans to increase telehealth to monitor people who have long term conditions, such as diabetes, chronic obstructive pulmonary disease, arthritis and hypertension.
The following response to a question asked by Douglas Johnson to Councillor Cate McDonald (Cabinet Member for Health and Social Care) at a meeting of Sheffield City Council on 7 December 2016 was noted:
The Administration does not intend to approve the NHS’s local Sustainability and Transformation Plan (STP)......
- believes that the way that STP has been developed has led to it becoming a mechanism for implementing the Five Year Forward View, which includes £22 billion of efficiency savings or cuts;
- believes that the STP process has lacked transparency and should have been conducted in a more transparent manner with a broad conversation with the public about the challenges facing the NHS and how to tackle them; and
- resolves to continue to oppose the Government’s cuts to NHS and local government funding, which are already leading to a crisis for adult social care, and to make the case for the extra investment that is desperately needed for these vital public services and resist further cuts to the NHS and social care on the back of STPs.