5. West Yorkshire & Harrogate

ICS to be developed

The NHS ten-year long-term plan published in January 2019 stated includes the development of integrated care systems (ICS) across England, in which healthcare organisations, including acute, community and primary care, and social care and public health will work closely together. These ICS are to evolve from the STP areas and be in place by April 2021.

The chief executives of NHS England and NHS Improvement had already written to all STP leaders in October 2018, instructing them to come up with new five year STP plans by autumn 2019. The new five-year plans will replace those which were previously drawn up 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. These plans will now feed into the development of the ICS.

The ICS will develop either through a number of alliance contracts or through a single provider being in charge of integration of services - an integrated service provider (ICP).

For more information on ICS see our briefing page here.

NOTE: The information on this page relates to the original STP drawn up in 2016; much of the information is still relevant, however, and is likely to be part of any ICS.

What issues have been raised about this STP?

Health planners are trying to reduce NHS deficits and think about ways to re-organise care. However getting a 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 closure of Huddersfield Royal Infirmary A&E and the consolidation of services at Calderdale Royal Hospital (CRH). The move has been criticised by GPs as putting lives at risk.

The potential closure and transfer of stroke services at Calderdale and Harrogate. More information available here.

Changes in who organises our care

The STP includes a proposal to develop an Accountable Care System, in Airedale, Bradford and Craven, and Wakefield; and a primary and acute care system in Harrogate.


The North Yorkshire County Council Scrutiny of Health Committee raised a number of concerns with the plans, warning of an over-emphasis on deficit reduction coupled with a lack of understanding about the impact of the cuts. The cuts could see the downgrading of ‘consultant-led maternity and paediatric services’.

The current average ambulance journey to an A&E is 15.54 minutes, this would increase to 22.13 minutes if a single emergency centre was established at CRH. The move would also increase journey times by public transport to 45 minutes and 15 to 20 minutes extra by car according to independent research conducted by the CCGs.