The STP (Sustainability and Transformation Programme) – OverviewOver the next five years, pressures on the NHS resources will be growing faster than funding. That means every pound has to be spent as efficiently as possible. This requires change to ensure services remain sustainable and of the best possible quality.The STP (Sustainability and Transformation Programme) is the local roadmap that enables us to deliver NHS England’s 2014 Five Year Forward View, which sets out a vision for an improved NHS, how we can achieve this, and how everyone involved needs to work together to improve healthcare. CPFT is responsible for just one of 44 STPs being rolled out in the UK that are tasked with making the NHS fit for purpose in a fast-changing health economy.Cambridgeshire and Peterborough is a diverse region; an area with a population of almost a million people. It has urban areas that have higher levels of poor health and a large concentration of hospital services, alongside towns and rural areas that have very different challenges, including physical access to services.The cost of non-actionIf the local NHS carries on as we are, we estimate there will be a financial shortfall of £250million by 20/21 in Cambridgeshire and Peterborough alone; that is clearly unsustainable. By working more collaboratively and using joint resources, we believe we can address this gap and break even. We know that by working more cooperatively across organisations we can reduce replication of functions, waste and unnecessary expenditure, while providing a better health experience for patients. A key element of our plan is about improving the health and well-being of our population, thereby reducing reliance on NHS and care services.How do we do it?In order to use resources more efficiently, much more focus is needed on preventative care; working together to find innovative ways of meeting the needs of both patients and clinicians and identifying ways of doing things more effectively and efficiently. Overall, all partners – all of us – need to work together to improve health, finances and quality of care to meet the future needs of patients.Cambridgeshire and Peterborough’s STP has been developed in partnership with clinicians across the region. The programme reflects the support clinicians have shown for new care models that improve quality, reduce disparity and deliver more efficient care. Reduced expenditure in non-frontline functions will enable additional spend and effort to be directed towards frontline services. Improved integration of health and social care means closer working in areas like community services – in our particular case, those who are elderly and/or frail – and mental health. The STP will create more opportunities for earlier intervention, leading to healthier communities and less reliance on NHS and care services.How will it affect my job?We are still at a very early stage in our considerations and we have offered opportunities to staff, trade unions, and other stakeholders to get in recent months coming months on what the next steps will be.STPs have been developed collaboratively across partner organisations, guided by our principles around social values, fairness, and good business practice.How will it affect our patients and service users?Stopping people becoming ill is always preferable to treating them when they become ill. A good example of preventable illness is Type 2 Diabetes, which accounts for roughly 10% of everything the NHS spends, and which in most cases could be avoided through improved lifestyles, particularly diet and physical activity. We also want more “early intervention” – being able to detect problems before they become a crisis that could need hospital treatment.A cornerstone of the STP is the “better at home” philosophy. We don’t want patients staying needlessly in hospital, in unfamiliar and unsettling environments, when it is possible for them to be at home with their loved ones, given appropriate care by experienced healthcare practitioners working remotely.How will we know if we’ve got it right?When – not if – we succeed, our service offering will reflect the needs of our patients, staff, and improve outcomes by 2020/21, closing all three gaps around wellbeing, quality and funding. The STP is a revolutionary development that requires the NHS at both local and national level to work collaboratively across organisational boundaries and sectors, requiring radical reviews not just of process, but in the culture and behaviours at our core.