Sustainability Transformation Plan (STP)
Update
Fiona Taylor, Chief Officer
Overview & Scrutiny Committee
18th October 2016
Planning Guidance
• Five Year Forward View (Oct
2015)
• Delivering the Five Year Forward
View (Dec 2015)
• Strengthening Financial
Performance and Accountability
in 2016/17 (July 2016)
CCGs must
1. implement the Five Year Forward
View
2. restore and maintain financial
balance
3. deliver core access and quality
standards for patients
Sustainability and
Transformation Plan
(STP) (5 year)
‘What’ ‘How’
Local Delivery System
(LDS) (5 year)
Blueprint
(5 year)
Operational Plan
(1 year)
‘Footprint’
Cheshire &
Merseyside
North Mersey/
Alliance
Sefton
Sefton
Alig
ned
Operational Plan
(2 year)Sefton
Cheshire and Merseyside
2,571,1702,571,170
1212
2020
2nd2nd
32%32%
8.3%8.3%
people
CCGs
providers
largest STP
live in the most deprived areas
aged 75+ (UK av. 7.8%)
Three ‘Local Delivery Systems’ (LDS)
• North Mersey
• Alliance
• Cheshire and Wirral
Technology, including Digital
Estates and Facilities
Commissioning
Workforce
Finance
Cheshire & Merseyside - A complex programme
GP 5YFV1. Demand management and
prevention at scale
2. Reducing variation &
improving quality supporting
hospital reconfiguration
3. Reducing cost through ‘back
office’ collaborative
productivity
Changing how we work together to deliver the transformation – effective Governance
4. Reducing cost and improving
quality through ‘clinical
support services’
collaboration
Communications & Engagement
STP
The mid-
Mersey
Alliance
North Mersey
Cheshire &
Wirral
The programme structure consists of 5 core Workstreams that will deliver the transformation strategy.
However there are further ‘Workstreams’ (enablers, cross cutting themes and the LDS plans) that have to be co-ordinated so that the dependencies.
Key to success will be understanding and managing the interdependenciesbetween these Workstreams and across the LDSs.
Leadership - The programmes will all be supported by a clinical lead, an SRO (for clear accountability) and a PM (for delivery).
Cross cutting themes
(Our Critical
Decisions)
Strategic Workstreams Delivery systems
Enablers
Learning Disabilities
CVD
Neurology
Mental Health &
Wellbeing
Maternity & Children’s
Urgent Care System
Cancer
4
Delivery
80%
20%
Important note: STP footprint is not a statutory body – individual
organisations retain sovereignty/local lead
Primary care
Older more frail
people
Unplanned care
Shaping Sefton:our vision
We call this:
community centred health and care
Current Position
• Initial draft C&M STP submitted June 2016
• Final version to be submitted 21 October 2016
• Discussion/public engagement commences at this point
• Commitment to meaningful engagement for all components of the
plan but formal public consultation only needed for substantial
service change
• Shaping Sefton is the planning building block at Level1
• 80:20 level 1:Level 3
Commissioning Intentions 17/18
• Prevention
• Enhanced primary and community care
• Acute services
• Urgent Care
• Cancer and End of life Care
• Mental Health