31. South West 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.

Proposed changes

Closure of one of either Mayday Hospital in Croydon, Epsom Hospital, St Helier Hospital, St George’s Hospital or Kingston Hospital.

Emergency and Maternity care to be cut from one hospital.

It is possible that cancer services at St George’s, Epsom and St Helier and the Royal Marsden hospitals in Sutton and Chelsea will be merged to one shared site.

The planned extension of the Sutton vanguard - which ended when funding ran out - has raised concerns. For this primary care approach to be extended throughout the STP area, primary care would first have to be stabilized and funding increased, as at present there is no capacity or funding for such expansion.