44. Buckinghamshire, Oxfordshire and Berkshire West

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

Plans to replace nine community hospitals with four community hubs.

Horton General Hospital in Banbury could see a reduced service put in place and the closure of 110 acute beds.

The plan is for Horton General Hospital's maternity to be downgraded from an obstetric to a midwife-led unit. However, in March 2018 the Department of Health's Independent Reconfiguration Panel (IRP) recommended developing alternative options.

‘Efficiency savings’ will see a reduction in higher grade nurses and an increase in the use of healthcare assistants and physicians associates. Planned workforce increase will be 978, although the estimated increase needed is 4,526.

Changes in who organises our care

In June 2017, Simon Stevens announced the first eight “accountable care systems”, that will each receive a share of up to £450m in transformation funding.

Two of the eight areas lie within this STP - West Berkshire and Buckinghamshire. This new model of care is designed to increase integration between hospital, community and primary care.