40. Bath, Swindon and Wiltshire

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 does the STP mean for your area?

Health planners are trying to reduce NHS deficits and think about ways to re organise care. However getting the large deficits under control could prevent facilities being developed that can cope with the health and care social needs of local people.

Proposed cuts

This area was targeted by NHS England for additional cost-cutting measures due to its high-spending. The measures are to ensure that it remains within its control total (budget) for 2017/18.

Proposed closure of ‘place of safety’ units (for people in ‘extreme mental distress') in Sandalwood Court Swindon and Fountain Hospital Salisbury. The Green Lane Hospital in Devizes will serve the entire county.)

Cuts proposed by Bath & North East Somerset CCG include to funding for vasectomies, female sterilisation and IVF treatment.

Changes in who organises our care

The STP proposes new models of care, including a move to accountable care systems in Swindon and Wiltshire. In Bath and North East Somerset a contract for the vast majority of community care and preventative care has been awarded to Virgin Care. Virgin Care is acting as a multispeciality community provider (MCP) - a new model of care.