28. North Central London
In October 2018, the chief executives of NHS England and NHS Improvement wrote to all STP leaders instructing them to come up with new five year plans by autumn 2019. The new five-year plans will replace those which were drawn-up in 2016 based on the previous five-year funding settlement to 2020-21. The new five year STP will be developed based on a new NHS England budget.
The letter notes that “It will be extremely important that you develop your plans with the proper engagement of all parts of your local systems and that they provide robust and credible solutions for the challenges you will face in caring for your local populations over the next five years.”
NOTE: The information on this page relates to the original STP drawn up in 2016, however much of the information is still relevant and could be part of the new STP.
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.
Moorfields eye hospital is to be relocated to St Pancras and the Moorfields site sold to boost funds.
Development of primary care to treat more complex patients, moving care away from hospitals to the community.
In order to extend primary care specialities it is proposed that GP practices develop into federations.
A transformation of the urgent and emergency care system is planned, aligning it closely with the care closer to home model. Wherever possible patients will be treated at home by community and ambulance services.
All urgent care (NHS 111, GP OOH and urgent care centres) will be run as an integrated service.
Extra cost-cutting plans
Documents leaked to The Guardian in June 2017 indicated major cuts were planned to save £183 million. The documents showed that:
- Some patients will be denied treatment
- Operation waiting times will increase
- A&E maternity units may be shut
- Doctors in five London boroughs will have to spend less on drugs
- Fewer patients will be referred to hospital
- Support for people with severe health needs will be cut.
The leaked documents admit the cuts will be unpopular, hard to explain and result in a lower standard of care.