The NHS is delivering good outcomes despite challenges, but still faces some problems ahead. Plans are being developed through 44 Sustainability and Transformation Plans to stabilize finances, improve services, and transform healthcare over multiple years. These plans aim to provide local strategies and focus on long-term change through collaboration between the NHS and other organizations. Supporting initiatives include demonstration sites for improving staff health, payment programs, and testing combinations of innovations through partnerships to evaluate and spread effective approaches. Progress will continue to be reviewed with support provided to strengthen plans.

1. Emily Hough
Deputy Director, Strategy Group, NHS England
@emhough1
Sustainability and Transformation in
the NHS

2. 2www.england.nhs.uk
The NHS is delivering despite tough circumstances
Often recognised as one of the world’s most equitable and efficient
More than 2/3 UK public believe the NHS “works well”
90%+ patients treated within 4 hours in A&E
90%+ patients are treated <18 weeks when it used to be 18+ months
Early deaths from heart disease are down over 40%
Last year the NHS made one of world’s biggest reductions in unneeded
antibiotic prescribing
All this despite seeing 1m+ people every 36 hours
Source: NHS England, Lancet

3. 3www.england.nhs.uk
There are still some challenges ahead
Source: NHS Five Year Forward View

4. 4www.england.nhs.uk
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Stabilise financial and operational performance
Get cracking on delivering priority service improvements
Develop strong Sustainability & Transformation Plans and begin
implementing them
There is a lot to do in 2016/17

5. 5www.england.nhs.uk
Sustainability and Transformation Plans
• 44 areas across the country, each with an ‘executive chair’
• A local route-map for implementing the Forward View
• Compelling place-based visions of health and care across the country
• Multi-year plans to match multi-year allocations
• A problem solving process that unlocks local leadership
• A decisive re-focusing of the NHS on transformational change alongside
operational performance

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Supporting a healthier NHS Workforce
• The NHS relies rely on a wide and diverse range of staff to deliver
• 3 things we are doing to improve staff health and wellbeing:
Working with 11 demonstrator sites to work up health and wellbeing support
for staff
A new CQIUN payment for staff health and wellbeing
The introduction of an NHS sugar tax – initially in 5 hospitals
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Driving innovation through Test Beds
• Bringing together the NHS with innovators – focusing on implementing
combinations of innovations to transform care delivery
• 7 partnerships announced in January looking at a range of issues:
• long term conditions
• dementia
• diabetes
• mental health
• Looking to test what works, at scale in the real world
• Robustly evaluating the impact – and how to implement
• Spreading what works quickly

8. 8www.england.nhs.uk
So what next….
• Reviewing STPs through July – all will be in different places
• Working with those that need help to strengthen their plans
• Checking in on progress in October
• Learning from the current programmes (e.g. NCM, Test Beds, Healthy NHS
Workforce)
• Spreading what works