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Sustainability and Transformation Partnership (STP)

The growing health and social care needs of our population can only be met using the funding available if the NHS and social care services work together.

To reflect this health and care organisations across England now work as part of sustainability and transformation partnership (STP) areas. The STP for our area covers Hertfordshire and West Essex.

NHS services, including clinical commissioning groups, and local councils across the area are looking at how local services across the STP area will evolve and become sustainable over the next five years to deliver better health, better patient care and make health and care services affordable for years to come - the vision set out in the NHS Five Year Forward View.

The Hertfordshire and West Essex STP has produced a plan called A Healthier Future. This sets out the challenges and opportunities facing NHS and care services locally and outlines actions agreed by the partnership linked to the four key challenges.

  • Living well and preventing ill-health
  • Transforming primary and community services
  • Improving urgent and hospital services
  • Providing health and care more efficiently and effectively

To find out more about the STP and current work and read the A Healthier Future plan go to

Clinical leadership of the STP

The GP chair of Herts Valleys CCG board, Dr Nicolas Small provides clinical leadership of the STP, working with other GP chairs of East and North Hertfordshire and West Essex CCGs.

They provide clinical leadership across the system, working with clinicians in hospitals, community health services, mental health, public health and primary care to make sure that health and social care professionals understand and support what the STP is doing. They will also share good practice and address variations in clinical practice and performance. For example, there are differences across the STP area in ambulance call out rates, prescribing patterns in general practice, unscheduled admissions to hospitals and cancer care outcomes. By looking at these differences we can look at ways of improving areas where performance is poorer.

A representative from our patient and public involvement committee has an input into these clinical discussions to make sure that the patient voice is heard.

STP achievements

The STP has started to deliver improvements for patients:

  • Extra funding for cancer care. The STP has secured more than £200,000 from the East of England cancer alliance to speed up diagnosis treatment for people with suspected lung and prostate cancer, helping people to live longer.
  • Making the money for medicines go further. CCG pharmacists have been working together to identify where savings can be made in the cost of medicines. So far the project has identified 23 drugs where there are cheaper, unbranded versions or ‘biosimilars’ which work in the same way as the more expensive versions.
  • Creating a single care plan. Health and social care experts and patient representatives are developing a single care plan for frail patients, replacing the multiple plans used by different organisations. A single plan will help clinicians work better together and will help patients to have a full picture of their health condition, feel more involved in their treatment and ensure their wishes are clearly recorded and followed.
  • Strengthening prevention and early detection. Organisations across the STP are tackling priority areas including weight reduction, smoking cessation, prevention of diabetes, reduction of harm from alcohol and reducing the number of people who have strokes by managing blood pressure.

To keep up with STP developments go to the News section of the A Healthier Future website

Integrated health and care strategy for Hertfordshire and west Essex

The STP has been working together intensively to develop an overarching integrated health and care strategy for Hertfordshire and west Essex, supported by a 10-year financial plan.

The plan can be viewed here.

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