Consultancies hired to 'accelerate' integration of four STPs

Two management consultancies have been commissioned to help four STPs in the West Midlands “accelerate” their integration plans, HSJ has learned.
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NHS Providers STP and accountable care background briefing

As part of the new programme on sustainability and transformation partnerships (STPs) and accountable care, this briefing brings together an overview of how national policy has evolved to promote system-based collaboration, including the development of STPs, accountable care systems (ACSs) and accountable care organisations (ACOs).
http://nhsproviders.org/resource-library/briefings/stps-and-accountable-care-background-briefing

Framework for maximising the use of care homes and use of therapy-led units for patients medically fit for discharge

This best practice framework from NHS England aims to address two models and the implementation approach that needs to be taken by sustainability and transformation partnerships (STPs) and their provider organisations with ensuing threats to patient safety, during the winter months.

A two-way street: what can CCGs teach us about accountability in STPs?

This report from the Nuffield Trust explores the accountability and performance management arrangements for CCGs and looks at the implications of these for STPs and accountable care systems. It is based on 13 interviews with senior CCG leaders and NHS England policy makers which took place in September 2016.

STPs: destined to fail or the road to better care? - the hospital doctors’ view

This report from the Hospital Consultants and Specialists Association aims to contribute to existing debates, setting out HCSA members’ experience and views of STPs. The key themes covered in this research were: hospital clinicians’ knowledge of the STP process; clinicians’ engagement in the STP process; and clinicians’ views on the impact of STPs.

End of Life Care data to inform Sustainability and Transformation Partnerships: Updated Tool and Metadata Guide

The National End of Life Care Intelligence Network (NEoLCIN) present key data about end of life care to assist Sustainability and Transformation Partnerships (STPs) as they develop their plans for services.

Working with other health and care partners – a suggested checklist for LPCs

This PSNC Briefing, which is aimed at Local Pharmaceutical Committee (LPC) Chief Officers and members, provides a suggested checklist for developing relationships with other health and care partners including Sustainability and Transformation Partnerships (STPs) / aspirant Accountable Care Systems (ACSs) and Accountable Care Organisations (ACOs), Clinical Commissioning Group (CCG) staff and members and GPs. This Briefing is an updated version of one previously published in 2013 and it draws upon recent feedback and advice from LPC Chief Officers collated by PSNC.

Reconfiguration of NHS services (England)

House of Commons Library briefing on reconfiguration of NHS services, including recent policy developments, information on consultation and scrutiny powers, and drivers of major service changes.

Sustainability and transformation partnerships: developing robust governance arrangements

This briefing from the HFMA includes a diagnostic tool to assess the status of governance arrangements arising from ‘at scale’ working. Completing the tool will provide a basis for discussion by the board/ governing body and/ or audit committee of an NHS body when seeking assurance about developing governance arrangements.

Top digital communications tips for STPs

In order to engage stakeholders, staff and the public with the work of your sustainability transformation partnership (STP) organisations need to develop a strong communications strategy.

This quick guide from NHS Employers contains top digital communications tips to help you effectively communicate the work your STP is doing to all interested parties.

The innovative use of assets and flexible infrastructure in the world of STPs

The paper from the Good Governance Institute examines, in particular, the innovative use of assets and flexible infrastructure, and how these can accelerate the implementation of plans within a context of limited capital.

Sustainability and transformation plans and partnerships

This House of Commons Library briefing covers the context in which sustainability and transformation partnerships have been developed, their funding and accountability arrangements as well as their progress so far. A key role of these partnerships was the creation of local blueprints for delivering the NHS five year forward view, known as sustainability and transformation plans. This briefing therefore explores how these plans were developed, as well as research and debate surrounding the content and implementation of these plans.

Sustainability and Transformation Fund (STF) and financial control totals: updated guidance

The 2017/18 and 2018/19 guidance has been revised to take account of the updated eligibility criteria for the 30% performance element of STF from quarter 2 onwards.

The payment of the whole 30% of these funds at Q2 and Q3 will be based on a combination of achieving the A&E 4 hour performance standard and also the required milestones on primary care front door streaming. The changes are detailed in section 3.5 of the revised guidance.

STPs and accountable care

The programme from NHS Providers aims to ensure there is the right support and a strong advocate making the case for NHS trusts as they move to accountable care structures that deliver more integrated care for the public.

Why should STPs worry about primary care?

Sustainability and transformation partnerships (STPs) have a tough job to do – focused on making the books balance, hamstrung by provider deficits, trying to make an unsustainable system sustainable.

Yet the majority of patient contacts and opportunity for upstream intervention is in primary care, most obviously general practice but also community pharmacies, dentists and optometrists. In this article, PCC chief executive Helen Northall makes the case for better understanding of and engagement with primary care by STPs.

STP progress dashboard

This report outlines baseline data for each STP area in England relating to progress so far on STP plans against nine domains. The nine domains focus on hospital performance, patient-focused change and transformation

See this briefing from The King's Fund. Yet more performance ratings for the NHS: new STP ratings are narrowly focused and centrally driven, which relates to the dashboard.

Accountable care organisations (ACOs) explained

Briefing from the King's Fund about accountable care organisations (ACOs). NHS England has recently outlined ambitions for sustainability and transformation partnerships (STPs) to evolve into ‘accountable care systems’ (ACSs), and proposed that these ACSs might become ACOs but only after ‘several years’. Eight areas of England have now been identified to lead their development. They comprise three core elements.

First, they involve a provider or, more usually, an alliance of providers that collaborate to meet the needs of a defined population. Second, these providers take responsibility for a budget allocated by a commissioner or alliance of commissioners to deliver a range of services to that population. And third, ACOs work under a contract that specifies the outcomes and other objectives they are required to achieve within the given budget, often extending over a number of years.

Integrating care: contracting for accountable models NHS England

NHS England has published information on contractual arrangements for accountable care organisations.

This package clarifies how accountable models may be contracted for, how local areas would approach procurement questions and the application of the new Integrated Support and Assurance Process, run by NHSE and NHSI in relation to the award of all novel or complex procurements by commissioners. It sets out the funding model including the details of integrated budget approaches, a new Improvement Payment Scheme to replace current incentive schemes and gain/loss sharing across the local health economy to align incentives. Finally, the package describes implications for the commissioning system of new models of whole population provision.

End of Life Care data to inform Sustainability and Transformation Partnerships

Public Health England in partnership with NHS and Care Quality Commission (CQC) present key data about end of life care to assist Sustainability and Transformation Partnerships (STPs) as they develop their plans for services.

PHE are publishing the data supplied to this project as a spreadsheet (End of Life Care STP Data Tool) together with a metadata guide (End of Life Care STP Data Tool MetaGuide).

The spreadsheet includes the most recently available data 25 indicators presented at STP and CCG level, and includes the number of deaths, the age, cause and place of deaths, data describing hospital admissions near the end of life together with information on the number of care home beds and use of palliative care registers by GP practices.

Patients to benefit from £325 million investment in NHS transformation projects

Fifteen sustainability and transformation partnerships (STPs) will share in £325m of capital investment to take forward transformation projects.  The funding, announced by health secretary Jeremy Hunt and NHS England chief Simon Stevens on 19 July, has been targeted at the “strongest and most advanced schemes in STPs.”