Skip to navigation Skip to main content
Vanessa Reeve

HSJ Commissioning Summit: Seizing the STP Opportunity

Person with crutch

Last week the IMPOWER health team attended the HSJ Commissioning Summit. As ever, the agenda was packed with plenty of new insights to take away and conversations to reflect on. As expected, STPs were a key discussion point, with three key themes emerging:

  1. STP’s are viewed as a real opportunity for a positive new direction. The Sustainability and Transformation Plans (STPs) were created to help local health economies plug the financial gap, but also as a means to get CCGs, local government and other health providers and stakeholders working together. At the Summit, the speakers were enthusiastic about the potential of STPs to tackle prevention at scale and manage demand. It may take us a while to see the results, but we’re on the right track.
  2. Changing incentives and behaviours. However, if STPs are going to manage demand across the system, then we need to realign incentives, deploying money across the system that enables the right behaviours (this is currently what IMPOWER is working on with NHS Bromley CCG and the London Borough of Bromley). One speaker highlighted that we need to make the invisible visible (the invisible basically being everything that is not the hospital). We need to ask how community systems can support high risk patients. If we want our citizens to take different pathways into health, then the system needs to support that.
  3. Plans are not enough. This has to be different for patients. It was clear from the discussions that it’s all well and good having an STP, but they need to enable people and staff to work differently in a way that is genuinely different for patients. We’re currently seeing STP engagement at a strategic level, but the challenge now is to move to implementing. We must engage the workforce and the public if we’re going to see transformational change.

Finally, there was a general acknowledgement that the STP process does not stop once the plans are submitted; they will need to be revisited and revised according to our experiences and learning. The STP process has exposed gaps in the capabilities and governance of our health care system, but it is also a forum in which we can bring key players together and tackle these issues. We just need to seize it.

Tags: . .

Other relevant insight

It’s Time to Care!

The NHS Time for Care scheme will be fully rolled out over the next three years following a successful pilot, but what is the extent of avoidable demand? I share my views on this much needed scheme.

April 17, 2019

Ealing’s ASC placement spend down 5% – how did they do it?

The second instalment of our EDGEWORK Series – launched today – is a guide to Primed Performance Management (PPM), and includes a case study detailing how the use of PPM in our work with Ealing Council helped them to reduce costs and improve outcomes.

April 11, 2019

New Children’s Commissioner report highlights a national scandal

'Early access to mental health support' report shows that there is insufficient lower level preventative support available

April 10, 2019

IMPOWER INSIGHT newsletter

Sign up for the latest thinking on delivering sustainable change and better public services

No spam; unsubscribe easily at any time. Learn more in our Privacy Policy.

Close
Close