1. Northumberland, Tyne & Wear

ICS to be developed

The NHS ten-year long-term plan published in January 2019 stated includes the development of integrated care systems (ICS) across England, in which healthcare organisations, including acute, community and primary care, and social care and public health will work closely together. These ICS are to evolve from the STP areas and be in place by April 2021.

The chief executives of NHS England and NHS Improvement had already written to all STP leaders in October 2018, instructing them to come up with new five year STP plans by autumn 2019. The new five-year plans will replace those which were previously drawn up based on the previous five year funding settlement to 2020-21. These new STP plans will now feed into the development of the ICS.

The ICS will develop either through a number of alliance contracts or through a single provider being in charge of integration of services - an integrated service provider (ICP).

For more information on ICS see our briefing page here.

NOTE: The information on this page relates to the original STP drawn up in 2016; much of the information is still relevant, however, and is likely to be part of any ICS.

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.

Proposed changes

Closure of Rothbury Community Hospital in Northumberland

Merger of South Tyneside and Sunderland NHS Trusts. Possible downgrading of acute services at South Tyneside Hospital including the stroke and maternity units. The plans have been described as “unsustainable” by hospital bosses.

Closure of wards and theatres, staffing cuts, the ending of funding for some treatments and delays in funding newly approved treatments have all been suggested as cost-cutting measures, leaked to the HSJ and the Independent.

Lack of investment, growing debts and lack of information

Growing debts are projected to reach £641 million by 2020/21. Campaigners claim plans for cuts have been "cloaked in secrecy" and the "public engagement process" listed numerous fears.

Lack of investment was highlighted by Dr George Rae of the British Medical Association stating in March 2017 that the Northumberland, Tyne and Wear STP would need an extra £76.6m in capital funding in order to successfully deliver the STP plans.

Changes in who organises our care

Northumberland CCG area is developing as an Accountable Care Organisation, under which a single organisation will hold the budget for all care in the area, including primary care.