Plans for our local health and care services: HIOW Sustainability and Transformation Plan


Local plans for improving health and care services across Hampshire and the Isle of Wight – the Sustainability and Transformation Plan (STP) – have finally been published. They provide a framework for transforming local health and care services, whilst ensuring they remain sustainable in the future.

The aim is for patients to benefit from more health and care services being provided closer to or in their homes over the next five years, and to give them more choice about when and where to receive treatment, less travelling time to attend appointments and less time waiting for appointments, diagnostic tests and test results. They will also have more opportunities to be cared for at home and in the community rather than in a hospital setting.

The STP, which has been developed by all the health and care organisations across the area including the County Council, also describes how the local NHS will implement a number of critical national programmes, including the Five Year Forward View for mental health and for general practice.

The plan does not replace or slow down other work which is already taking place to shape services in a way that gives patients a better experience, such as via the Better Local Care vanguard across the south of the county and the Happy Healthy at Home programme in north east Hampshire. Instead, organisations have come together to do the things that can only be achieved by working in partnership. For example, acute hospital NHS Trusts are building an alliance to improve outcomes for all residents while managing within the finances that will be available in the future. If NHS organisations across Hampshire and Isle of Wight do nothing to change the rising demand for services and the way they are provided, by 2020/21 there will be a gap of £577 million between the money received and what is needed. This gap does not take account of the challenges that also face social care.

The plan covers a period of five years from 2016 to 2021 and, while there are some changes that can be made quickly, others will take longer to develop and require substantial engagement and, where appropriate, formal consultation with local people before they can be implemented, such as the future provision of acute services in north and mid Hampshire and how to ensure that people living on the Isle of Wight have sustainable hospital services.

Over the next weeks, each statutory organisation involved will receive the plan for discussion at their public Board meeting. The plan will also be discussed at meetings of the local health and wellbeing boards across the area.

Over the coming months, NHS organisations will engage fully with local people, predominately through existing arrangements for engagement. If, after this engagement period, any proposal emerges that is considered to represent significant service change, there will also be a full consultation with local citizens and stakeholders.

Healthwatch Hampshire statement

Today has seen the release of Hampshire and Isle of Wight’s Sustainability and Transformation Plan (STP). These plans have been developed by health and care organisations from across Hampshire and the Isle of Wight in response to the increasing challenges facing the local system.

The plans build on existing programmes of work taking place throughout the county and are changing the way that health and care is provided in many ways. We appreciate that people may be concerned, in particular because some changes may mean patients travelling further than they do today, though the aim is to make sure they receive the very best care possible for their conditions. The health service expects other changes to offer patients more choice about when and where to receive treatment, less travelling time to attend appointments and less time waiting for appointments, diagnostic tests and test results.

Hampshire and the Isle of Wight is one of 44 areas across England that are developing detailed local STPs. Local Healthwatch organisations throughout the area (Hampshire, Isle of Wight, Portsmouth and Southampton) are clear about the need to engage and involve local people about the ambitions in the plan and any refinements that can be made. This will begin with a series of road shows across Hampshire and the Isle of Wight early next year to talk about the plan and listen to the views, ideas and concerns of local people and voluntary and community groups and staff. Details of the road shows will be publicised in the New Year.

The Sustainability and Transformation Plan, and a summary, are attached below.