Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Stevens: STPs will get 'decision rights' to reorganise trusts and CCGs

  • Comment
  • STPs to be given right to “recommend” member trusts and commissioners reorganise
  • STPs should act if “veto power or inertia is getting in the way of the bigger strategic change agenda”, Simon Stevens says
  • NHS England chief also says new forward view update plan is not “not a funding bid”

Sustainability and transformation plan leaders will be given the right to “recommend” member trusts and commissioners reorganise, where the “veto power or inertia” of individual organisations is holding up change, Simon Stevens has said.

375_lgc_hsj_reporting

375_lgc_hsj_reporting

The NHS England chief executive told the body’s board meeting yesterday the STPs were “here to stay” and the Five Year Forward View delivery plan, due next month, would “beef up the implementation capability which exists at STP level”.

Stevens at pac

Stevens at pac

Simon Stevens said the upcoming forward view plan was ‘not a bidding document’

Mr Stevens said the delivery plan will propose STPs are given “decision rights”, “not only over many of our activities, but also the ability to recommend changes to the configuration or governance of constituent statutory organisations in those geographies where the STP believe that veto power or inertia is getting in the way of the bigger strategic change agenda, which is required in that part of the country”.

A formal appointment process for STP leads is also being drawn up as part of the delivery plan, which will set out NHS England’s plans for the next two years “and for some of the deliverables, a bit beyond that”, he said.

He also sought to pour cold water on suggestions that the delivery plan was an attempt to reopen spending negotiations between the NHS and government.

He said: “[The delivery plan] is not a bidding document for NHS funding. What it is, is taking as a starting point something which the government has allocated to the NHS… and then… saying what realistically can the NHS deliver over that period.”

Mr Stevens, speaking just an hour after official data revealed accident and emergency performance in December had sunk to its lowest level since the data started being collected more than a decade ago, said addressing urgent and emergency care would be a focal point for the delivery plan.

He said: “Part of the answer [is a more] streamlined urgent treatment centre offer, extended access to convenient primary care, and substantial changes to the way 111 is networked.

“But really the principal driver… is the availability of inpatient beds in the hospital which people are able to admit to. The biggest change over the course of the last year, the last three years, has been the effective reduction of bed availability resulting from the fact that social care related delayed discharges has gone up by 90 per cent over the course of the last two years.”

The meeting also heard from chief financial officer Paul Baumann, who set out his finance report which revealed the overspend by clinical commissioning groups in England had almost doubled in the last three months, with a third of CCGs now predicting in-year deficits.

After the first nine months of 2016-17, CCGs have forecast a year-end overspend of £370m, compared to £190m forecast three months earlier.

Tags

  • Comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions.

Links may be included in your comments but HTML is not permitted.