6. Coast, Humber & Vale

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 concerns have been raised about your STP?

Health planners are trying to reduce NHS deficits and make changes to the way care is organised. 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 minor injury unit (MIU) at Hornsea Hospital with a downgrading of the MIUs at Driffield and Withernsea.

24 beds cut at Bridlington Hospital and Withernsea Hospital; the Macmillan Wolds unit at Bridlington will close as well as another 12 beds at Withernsea, to be replaced by 25 beds in care homes - some in Bridlington and South Holderness - and an intensive rehabilitation centre at the Beverley hospital.

Changes in who organises care

New models of care are planned for the area, all of which are designed to integrate care, increase community care and reduce hospital use. Scarborough and Ryedale is to have a Multispeciality Community Provider (MCP), the Vale of York is to develop as an Accountable Care System (ACS), and North and North East Lincolnshire is to develop Accountable Care Partnerships.

Emphasis on cost-cutting

In official documents leaked to the HSJ and reported by the Independent, cost cutting measures for the Vale of York, Scarborough and Ryedale areas 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.


Campaigners have warned that people will face a 40-mile round trip to Hull or further to Beverley if the planned changes go ahead.

Local GPs have called for a rethink, pointing to the rurality of the area and its poor transport links.

The North Yorkshire County Council Scrutiny of Health Committee warned 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’.