Key questions for the future of STPs and ICSs

What does this mean for libraries? 

This report is only concerned with the current situation regarding sustainability and transformation partnerships (STPs) and integrated care systems (ICSs), and doesn’t make recommendations. However, it shows that 14 of the 44 STPs have already progressed to become ICSs, and 49% of Trusts agree that ICSs should replace STPs, so it shows that the directions of travel is clearly towards ICSs.

MAP has already looked at the implications of ICSs for LKS in a policy briefing on Integrated Care Organisations.

Source: NHS Providers

Link to main document

Date of publication: August 2018

Summary of driver:

Summarises recent developments in system working, including the state of play of STPs and ICSs.

It also sets out the background to the focus on collaborative working, and looks at some of the models that are emerging. There is also a look at what factors make collaboration more successful.

 A useful infographic summarises the state of play of STPs and ICSs.

44 Regional Sustainability and Transformation Plans (STPs)

Impact on library policy/practice: 

• The opportunity to link with senior management and find out what information they need to progress their STP.
• Ideal opportunity to promote time saving services such as current awareness and LKS evidence searches.
• Possibility of collaborative purchasing opportunities with other LKS both within and outside relevant STP footprint for resources purchasing to deliver financial savings and fitting in with Knowledge for Healthcare.
• Opportunities to showcase how LKS can support  innovation and change, such as knowledge management skills and running simple KM events to encourage knowledge sharing, e.g randomised coffee trials and knowledge cafes
• LKS can be an information hub on STPs for patients/carers on site, as well as connecting with public library colleagues.
• Possible provision of LKS for the Local Workforce Action Boards.

Source: NHS England

Link to main document 

Publication format: Website, 44 STPs as pdf

Date of publication: All STPs were published in Oct/Nov 2016

Summary of driver:

NHS organisations and local councils are developing shared proposals to improve health and care. Working in 44 geographical areas covering all of England (called ‘footprints’), the plans are led by senior figures from different parts of the local health and care system.

The proposals are designed around the needs of whole areas, not just individual organisations, following discussion with staff, patients and others in the communities they serve.

The latest thinking is set out in 44 Sustainability and Transformation Plans (STPs). These can be viewed below, alongside details of who is leading work in each footprint area.

• North
• Midlands and East
• London
• South

Primary audience: All

Date last updated: 23rd March 2017

Due for review: 23rd March 2018

Group member responsible: TP

Evidence summaries to inform the Lancashire & South Cumbria STP

Project team: Lancashire Teaching Hospitals NHS Foundation Trust

• Knowledge & Library Services Manager
• Operational Librarian (Public Health lead)
• Clinical Librarians
• Public Health staff

Resources required:

• Staff time

Timeframe:

• 4 Week timeframe from request to submission.

“The story”

As part of a collaborative working group, the Lancashire Public Health team were involved in finalising the STP which was due for submission in October 2016. In August 2016 a request was made to the library service for a literature search and evidence review to identify interventions which will deliver health benefits, contribute to quality and release efficiency savings by reducing emergency admissions, A&E attendances and GP consultations.

The library service completed 11 literature searches and carried out a mini-literature review and synthesis on each of the 11 topics including a detailed reference list at the end. The evidence summaries were shared amongst the team and delivered within the agreed 3 week timeframe. The Lancashire Public Health team were asked to prioritise the 11 searches and a strict schedule was agreed. The Library developed a process and sources for searching which was signed off by Lancashire Public Health with a view to streamlining delivery and standardising our approach.

Alignment to local, regional and national drivers:

Sustainability Transformation Plan Lancashire & South Cumbria http://www.lancashiresouthcumbria.org.uk/sustainability-and-transformation-plan Regional Transformation of Healthcare Delivery

Our Health Our Care https://www.ourhealthourcarecl.nhs.uk/ Local Transformation of healthcare delivery.

Impact for the Library

This case study was shared as best practice with other health library teams at a national level. It also raised the profile of the type of work that we do and provided a basis for us to become involved in the local Our Health, Our Care plan as our Clinical Librarian has attended the regional Solution Design Events to support redesign.

Impact for the organisation/customer

This work impacted on a number of areas, the STP was published and the Public Health team perceived that there was more informed decision making. The project also facilitated collaborative working and new ways of learning.

Crucially this project saved 80 hours of Public Health Staff time. “Myself and two other analysts would have ended up doing the searches and a couple of the other specialists. We’ve all been trained on searching, but time we would have spent on searching, which we could have been spending on something else” Kate Hardman, Information, Intelligence, Quality & Performance Manager.

Future impacts

Many of the following impacts will be realised after the STP has been published and changes begun to be implemented:

• Improve patient care
• Developing policies, audit and evaluation,
• Organisation/service development/planning,
• Commissioning or contracting,
• Saving money or contributing to financial effectiveness

Lessons learned

Being really clear about what is achievable within existing timescales and having a clearly structured approach meant that the Library team could work together to turn around this work in a short timescale.

Sustainability/next steps?

The Library team have been able to adapt the content of our current awareness for the Public Health team to reflect the priorities outlined in the STP.

The Library team may be involved in future searches to review specific interventions in more detail.

Contact:

Tracey Pratchett, Knowledge and Library Services Manager

10 big questions for STPs. One big question for LKS

Source:  Knowledge for Healthcare blog post by Imrana Ghumra and Sue Lacey Bryant

Link to main document:  

Publication format:  Blog post (Knowledge for Healthcare)

Date of publication: 12^th May 2016

Summary of driver:

This blog post discusses the Sustainability Transformation Plan (STP) as outlined in the NHS Five Year Forward View Shared Planning Guidance.

STPs will be the driver for change and transformation in healthcare between 2016-2021. Priorities and requirements have been rounded up into ’10 big questions’.

Links to relevant information such as the 44 STP footprints, a more detailed briefing of the ’10 big questions’ and an introductory presentation and action planning grid are embedded in the blog post.

The post rounds up with one BIG question for LKS- how can we help?

Key features of driver:

Local Workforce Action Boards (LWABs) have been set up and  are responsible for delivering 4 key pieces of work, starting with an action plan that covers the ’10 big questions for STPs’ which as listed below.

• How are you going to prevent ill health and moderate demand for healthcare?
• How are you engaging patients, communities and NHS staff?
• How will you support, invest in and improve general practice?
• How will you implement new care models that address local challenges?
• How will you achieve and maintain performance against core standards?
• How will you achieve our 2020 ambitions on key clinical priorities?
• How will you improve quality and safety?
• How will you deploy technology to accelerate change?
• How will you develop the workforce you need to deliver?
• How will you achieve and maintain financial balance?.

Primary audience:  All healthcare and NHS senior management, all NHS staff, local government, Health Education England, DoH.

Impact on library policy/practice:

• The opportunity to link in with senior management and highlight their information needs and find out what information people need to move forward with their STP.
• Ideal opportunity to promote time saving resources such as current awareness and LKS evidence searches.
• Possibility of collaborative purchasing opportunities with other LKS both within and outside relevant STP footprint for resources purchasing to deliver financial savings and fitting in with Knowledge for Healthcare.
• Once STP is finalised continue to maintain and feed new relationships with senior management and LKS colleagues.
• Opportunities to showcase how LKS can support  innovation and change, such as  knowledge management skills and running simple KM events to encourage knowledge sharing, e.g randomised coffee trials and knowledge cafes
• LKS can be an information hub on STPs for patients/carers on site, as well as connecting with public library colleagues.
• Possible provision of LKS for the Local Workforce Action Boards.

Date last updated: May 2016

Due for review: May 2017

Group member responsible: LK