30. South 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

There will be changes to community care, including the development of 23 Local Care Networks (LCNs), which will bring primary, community, specialist teams working in the community, mental health and social care colleagues together to manage the health and care of local populations of between 50,000-100,000

An integrated urgent care system is planned to be in place by 2018.

The STP aims for an increase in births at home and a reduction in the number in labour wards.

The number of centres which will perform elective orthopaedic surgery will be reduced. Originally the reduction was from eight to two, but this is now likely to be from eight to three.

Extra cost-savings planned

As this area has one of the highest over-spends it has been targeted by NHS England and NHS Improvement for extra cost-control methods. These could include:

  • Longer waiting times for elective care;
  • Closure of wards and theatres;
  • Staffing cuts;
  • Ending funding for some treatments and prescriptions;
  • Delaying or avoiding funding newly approved treatments.