29. North East London

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

The A&E department at the King George Hospital will be downgraded to an urgent care centre in Summer 2019.

This will leave the borough of Redbridge without an A&E. Although alternative A&Es are not geographically far away, heavy traffic can mean it takes between half an hour and an hour to reach them.

This area is predicted to see a 50% fall in GP numbers; to cope with this there are plans to recruit physician associates as well as have some of the work load taken up by the 111 phone service and pharmacists. Local GPs fear that this will reduce the standard of care.

Lack of investment and severe cuts

This STP will need an enormous capital investment of £500-£600 million, however it contains few details of where this funding is going to be obtained. GPs, nurses, managers and other staff in the borough of Tower Hamlets have warned that severe cuts will have to take place in services for the required savings to be made.

Changes in who organises our care

There are plans for an Accountable Care System (ACS) in Barking, Dagenham, Havering and Redbridge by April 2018, and City and Hackney CCG will expand its current pilot devolution to an ACS.