What to say if your elected representatives (Councillors or MP) say there is no detailed financial info in the Oct 21st STP.

Because STP Agony Aunt is hearing that this is what too many people’s elected representatives are saying.

Ask them were they got that info from.

Keep on asking them until they tell you or it becomes totally evident that they haven’t a clue and are making it up.

Ask them why they are making it up.

Demand the immediate release of unpublished STP appendices and other documents sent to NHS England. Here is a downloadable letter or email to adapt as you see fit.

Then tell them that NHS England requires all NHS organisations to send them two year operational plans by 23rd Dec, that include templates that show the financial “trajectories for 2017-2019 that will:

  • deliver individual CCG and local system “footprint” financial control totals,
    implement local STP plans and
  • achieve local targets to moderate demand growth and increase provider efficiencies (e.g. Right Care and Carter review).

This information about NHS planning guidance, NHS England operational plan submission requirements and Timetable for Operational Plan and STP is from the Leeds CCG report to 24 Nov 2016 Leeds HWB Board .

All NHS organisations are required to submit Operational Plans to NHS England by 23rd December 2016, that deliver the Sustainability and Transformation Plans 2017-2019.

NHS England requires that all CCGs submit an Operational Plan in the form of a
series of templates that capture trajectories for performance, activity and finance.

The NHS Clinical Commissioning Group (CCG) Operational Plans are required to cover a two year period from 2017-2019.

NHS England requires that the Operational Plans detail how CCGs will deliver 9 key ‘Must Do’ priorities.

These priorities underpin the delivery of Sustainability and Transformation Plans (STPs) and a range of key national priorities and strategies, including meeting NHS Constitution standards, Cancer, Maternity, Mental Health, Learning Disabilities and Primary Care Five Year Forward View.

Operational Plans are required to be submitted in draft on 24th November 2016 with a
final version due on 23rd December 2016.

Timetable for Operational Plan and STP

The timetable for submitting the CCG Operational Plans is outlined below:

22nd Sept Planning Guidance published
21st Oct Commissioner allocations published
Submission of STPs
1st Nov Submission of CCG financial plan for 2017/18 to 2018/19
4th Nov Commissioners to issue initial contract offers to providers
Feedback to STPs
11th Nov Providers to respond to initial offers from commissioners
18th Nov Submission of full financial plan
24th Nov Submission of full draft operational plans
16th Dec Submission of full financial plan
23rd Dec National deadline for signing of contracts and narrative
Submission of final operational plans
Final plans approved by Boards or governing bodies

Summary of the NHS planning guidance and NHS England submission requirements

CCGs Operational  Plans for 2017-2019 provide years 1 and 2 of their CCG area’s Chapter of the STP, which is considered the roadmap to delivering the Five Year Forward View for the NHS.

The NHS Operational Planning and Contracting Guidance 2017-2019 (22nd September 2016)  sets out the requirements on all NHS organisations regarding the development of Operational Plans for the next two financial years.

The guidance requires that all CCGs and provider organisations develop a 2-year
Operational Plan covering 2017-2019 that will secure the delivery of 9 key ‘Must
Do’ priorities as follows:

  • Underpin Sustainability and Transformation Plans: Each STP becomes the route map for how the local NHS and its partners make a reality of the Five Year Forward View. It provides the basis for operational planning and contracting. All Operational Plans must underpin agreed STP milestones and their share of trajectories identified within the STP core metrics set for 2017-2019 (TBC).
  • Finance: Deliver individual CCG and local system financial control totals.  Implement local STP plans and achieve local targets to moderate demand growth and increase provider efficiencies (e.g. Right Care and Carter review).
  • Primary care: Ensure the sustainability of general practice area by implementing the General Practice Forward View, including the plans for Practice Transformational Support, and the ten high impact changes. Operational plans are the detailed plans for the first two years of the STP.
  • Urgent and Emergency Care: Implementing the five elements of the Accident &  Emergency (A&E) Improvement Plan to support delivery the four hour A&E standard, and standards for ambulance response times.
  • Referral to treatment times and elective care: Deliver the NHS Constitution standard that more than 92% of patients on non-emergency pathways wait no more than 18 weeks from referral to treatment (RTT). Improve use of e-referrals and choice.
  • Cancer: Working through Cancer Alliances and the National Cancer Vanguard, implement the cancer taskforce report.
  • Mental health: Deliver in full the implementation plan for the Mental Health Five Year Forward View for all ages.
  • People with learning disabilities: Deliver Transforming Care Partnership plans with local government partners, enhancing community provision for people with learning disabilities and/or autism.

Improving quality: All organisations should implement plans to improve quality of care.

CCG Operational Plans must describe how they will invest and disinvest in
services and initiatives to support the STP in addressing the identified financial gap whilst
continuing to meet the 9 national ‘Must do’ priorities.

“It should be noted that unlike in previous years all NHS partners will be held accountable for delivering agreed financial ‘control totals’ across all partners (i.e. if providers are in deficit and not meeting their ‘control totals’ this will be seen as a failure on all NHS organisations in the system).”

CCGs are required to develop operational plans that will deliver individual CCG  local system financial control totals.

As an example, the Leeds Plan includes a lot of schemes to “moderate demand growth” including “progressing population-health new care models such as multispecialty community providers (MCPs): Significant work is ongoing to progress the development of a Leeds approach to population health care based models. This will be underpinned through the ‘One Voice” commissioning development initiative.”

This is about setting up an Accountable Care Organisation.

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