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