Sustainability and Transformation Plans - . Midlands and East region


Sustainability and Transformation Plans

Sustainability and Transformation Plans (STP’s) are joint plans produced by NHS providers, Clinical Commissioning Groups (CCG), Local Authorities, and other health and care services. They should also include voluntary, community and social enterprise (VCSE) partners

In Delivering the Forward View the national health and care bodies identified their major ‘national challenges’ as how to:

  • close the health and wellbeing gap
  • drive transformation and close the care and quality gap
  • close the finance and efficiency gap

They also emphasise the need to focus on ‘prevention and care redesign’. 

The STP will be the umbrella plan, holding underneath it a number of different specific delivery plans, some of which will necessarily be on different geographical footprints. For example, planning for urgent and emergency care will range across multiple levels: a locality focus for enhanced primary care right through to major trauma centres.

Sustainability and Transformation Plan Footprints

The plans cover  44 ‘footprint’ geographical areas across England. These are geographic areas in which people and organisations will work together to develop  plans to transform the way that health and care is planned and delivered for their populations. They are seen as a way of bringing together health and social care at the most locally relevant geographical level (including mirroring existing ‘devolution’ areas) and aligning the plans of partner organisations in that area.


STPs footprints are not statutory bodies, but collective discussion forums which aim to bring together health and care leaders to support the delivery of improved health and care based on the needs of local populations. These will form the basis for long term, place based planning and commissioning of services. They do not replace existing local bodies, or change local accountabilities.

In forming their footprints, local areas will have taken the following factors into account:

  • Geography (including patient flow, travels links and how people use services);
  • Scale (the ability to generate solutions which will deliver sustainable, transformed health and care which is clinically and financially sound);
  • Fit with footprints of existing change programmes and relationships; The financial sustainability of organisations in an area; and
  • Leadership capacity and capability to support change.


named individual has been chosen to lead the development of each STP. Most come from clinical commissioning groups (CCGs) and NHS trusts and foundation trusts, but a small number of STP leaders come from local government.


Midlands and East STP Leads (NHSE Website 30 March 2016)


Gary Thompson (Chief Officer, Southern Derbyshire CCG)


Allan Kitt (Chief Officer, South West Lincolnshire CCG)


David Pearson (Director, Adult Social Care, Nottinghamshire County Council)

Leicester, Leicestershire and Rutland:

Toby Sanders (Accountable Officer, West Leicestershire CCG)


John Wardell (Accountable Officer, Nene CCG)

Cambridgeshire and Peterborough:

Dr Neil Modha (Chief Clinical Officer, Cambridgeshire and Peterborough CCG)

Norfolk and Waveney:


Suffolk and North East Essex:

Nick Hulme (Chief Executive, Ipswich Hospital NHS Trust)

Milton Keynes, Bedfordshire and Luton:

Pauline Philip (Chief Executive, Luton & Dunstable University Hospital NHS Foundation Trust)

Hertfordshire and West Essex:

Beverley Flowers (Accountable Officer, East and North Hertfordshire CCG)

Mid and South Essex:

Dr Anita Donley (Independent Chair for Mid and South Essex Success Regime from 1st April)


Engaging local people in Sustainability and Transformation Plans 

New NHS England guidance on engaging local people in Sustainability and Transformation plans urges those responsible for developing plans to link with VCSE organisations, with an emphasis on people who are less frequently heard. 

The guidance document, 'Engaging Local People - a guide for local areas developing Sustainability and Transformation Plans', has been published to advise local health and care leaders how to put their communities at the heart of their work.