Sustainability and Transformation Plans (STPs) - the biggest threat to the NHS since the Coalition's Health & Social Care Act (2012)
The STP programme was launched in December 2015.
It splits England into 44 areas called 'Footprints' which will be the basis for how the NHS will be run in future. They are taking the 'N' out of the NHS.
This is designed to drive forward the 5 Year Forward View. It takes as its central point that there will never be funding for the NHS at any point in the future sufficient to fund it to current levels of service. On this basis the NHS will be reduced. Jeremy Hunt has said it will be on a '10 year diet'.
This dismantling emphasises 'out of hospital care' using technology to replace face-to-face contact and moving people out of hospitals into community care. But funding for social care and public health have both been savagely cut.
Among other things the STPs rely on reducing the number of A&Es, selling 'surplus' land and assets to fund the STPs themselves and changing the skills mix of NHS staff. This means that people will no longer see doctors as a matter of course. The new system is based around patients using vouchers and personal health budgets, a form of 'self-pay'.
In 2013 we had 140 full A&E hospitals in England. When the STPs are complete there will only be between 40 and 70 left.
According to the STPs, to make the NHS affordable and sustainable we, the public, must get used to longer ambulance journeys for emergency care, longer waiting times for treatment and the possibility of paying extra to be seen by a doctor. And we must learn to look after ourselves. This was planned in 2013, but shelved until after the 2015 election as being 'politically sensitive'. In other words, the Tories knew they would have lost the election. THE PLANS SHOULD HAVE BEEN IN PLACE BY JUNE 30th 2016., but were delayed as so few of the 'footprints' could achieve it.
What you can do
In 1 minute: you can sign the petition
In 5 minutes: you can show this page to a friend, family member or colleague at work
or you can read an article about the Sustainability and Transformation Plans
or Accountable Care Organisations - the US model we are moving to
or watch Jeremy Hunt telling the Health Select Committee that we are 'moving forward' to being like US giant Kaiser Permanente
In 30 minutes: you can write a letter or email to your MP expressing concern about the plans and what we want to see in their place
House of Commons
And you can send us a copy of that letter to firstname.lastname@example.org