Moves to create 44 sustainability and transformation plans to deliver NHS services across England could mean better coordination of health and care for patients. But the pace at which they are being pushed through risks undoing much of the good the plans could bring.
As unions and professional bodies representing the majority of the NHS’s million-strong workforce in England, we know only too well the pressures of trying to provide decent care with dwindling resources. While staff would much rather the government came up with the cash to give the health service and social care the investment they need, the plans could be a sensible step to make the best use of existing, yet limited, resources.
The plans could lead to closer working between the health and social care sectors, and between the various parts of the NHS in particular areas. That makes sound sense and is in the best interests of both patients and staff.
But the breakneck speed at which organisations are being asked to submit their plans and consult with local groups – to meet this week’s arbitrary deadline – makes no sense at all, and could well be storing up problems for later. Some already suspect the plans might be cover for further cuts, closures and mergers. This must not be the case. Both the public and health staff need reassurance now.
Jeremy Hunt, the health secretary, and Simon Stevens, the chief executive of NHS, must slow down the pace, extend the submission deadline, and ensure there is full consultation on future plans. Crucially, they must do more to convince staff and the public that change is happening for the right reasons – to make healthcare better and not simply to disguise cuts and save money.
Julia Scott British Association of Occupational Therapists
Annette Mansell-Green British Dietetic Association
Lesley Anne Baxter British Orthoptic Society Trade Union
Andrew Taylor Federation of Clinical Scientists
Jon Restell Managers in Partnership
Jon Skewes Royal College of Midwives
Janet Davies Royal College of Nursing
Brian Harris The Society of Chiropodists and Podiatrists
Richard Pembridge Society of Radiographers
Christina McAnea Unison
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