Improving the scrutiny of integrated care systems and sustainability and transformation partnerships: A guide to good practice
NHS Confederation 6 February 2020

• This guidance aims to help scrutiny leads and communications and engagement directors within ICSs and STPs to understand how they might work more effectively together to produce a relationship that works in the best interests of local partnerships and communities.
• The paper covers:
• The experiences of scrutiny leads and their supporting officers in engaging with ICSs and STPs to date.
• The steps that ICSs and STPs could take to improve these relationships.
• The way that the role of health scrutiny might evolve to support the move to whole system partnership thinking.

Some Legal Implications of the NHS Long Term Plan

Some Legal Implications of the NHS Long Term Plan
Hempsons 19 February 2019

• In order to improve access to services, the Long Term Plan (LTP) sets out ambitions for better integration between primary, secondary and community services for patients. 
• This note highlights some of the legal implications of the LTP in particular around procurement, competition, workforce, and Primary Care Networks / Sustainability and Transformation Partnerships / Integrated Care Systems.

STP HR shared service hosted by Herts Valleys CCG

STP HR shared service hosted by Herts Valleys CCG
NHS Improvement 27 December 2018

• In this case study, Herts Valleys Clinical Commissioning Group shares how it set up a HR shared service across the sustainability and transformation partnership (STP).
• Hertfordshire, West Essex, Bedfordshire and Luton CCGs share how they set up a not-for-profit HR shared service to reduce costs and provide expertise across a STP and an integrated care system (ICS) across Hertfordshire and West Essex STP and Bedfordshire, Luton and Milton Keynes ICS, although Milton Keynes CCG is not currently included in the shared service.

Lincolnshire STP signs deal with Cambio to help predict demand

Lincolnshire STP signs deal with Cambio to help predict demand
Digital Health Intelligence 8 November 2018

• A STP in Lincolnshire has signed a deal with Cambio Healthcare Systems for real-time dashboards to help forecast capacity and demand. Cambio will be responsible for delivering a solution based on its PFM (Patient Flow Manager) product and dashboard technology from its partner Beautiful Information. 
• Data entered in the PFM helps give an instant picture of current demand, capacity, resources and impending problems. The solution is then designed to identify, from live data, the pressure points in the system. The idea is it makes it easier to proactively respond to any surges in demand. All health and care organisations in the STP will have a shared view of both the regional and local dashboards.

CCGs in revolt over STP running costs

CCGs in revolt over STP running costs
HSJ 25 July 2018

• Example of a CCG (Ashford CCG) not putting money into an STP citing concerns about scrutiny and accountability. The decision has been overturned.

HSC inquiry: Integrated care: organisations, partnerships and systems

Integrated care: organisations, partnerships and systems inquiry
Health Select Committee, 7 February 2018 to date

• An inquiry into Sustainability and Transformation Partnerships (STPs), Accountable Care Systems (ACSs) and Accountable Care Organisations (ACOs). 
• Evidence (oral and written) from NHS Confederation, NHS England and others available here.

Health Systems Support Framework (previously known as ACS & STP Development Partner Framework)

*New* As of 2 February 2018 renamed the Health Systems Support Framework

ACS & STP Development Partner Framework [aka LPF2]
NHS England, 15 December 2017

• Tenders are open for suppliers to register to take part in the forthcoming the ACS & STP Development Partner Framework which will give commissioners and providers access to Population Health Management support. 
• This includes tools to identify patients who are at high risk of an adverse event and are likely to be amendable to a particular intervention, patient records that give clinicians across all care settings a full picture of their patient’s health and well-being; support to monitor wider system programmes; and enhanced tools to integrate clinical workflow with patient activation data to ensure patients are being treated in the right place at the right time.
• The ACS and STP Development Partner Framework will be structured around three areas:
• Infrastructure: encompassing EPR and place-based digitalisation; Local Integrated Care Records and Health Information Exchange; primary care IT support and transformation; and data management and information governance;
• Insight: population health analytics and digital tools for system modelling, planning, risk stratification and impactability, care coordination and care management.
• Impact and Intervention: transformation and change; primary care transformation; self-care, patient empowerment and activation; and system optimisation.
• Tender documents available here: https://nhsengland.bravosolution.co.uk/web/login.html

Framework renamed Health Systems Support Framework (2 February 2018)