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These are no gifts that Sustainability and Transformation Partnerships are bearing. The aspirations in Sustainability and Transformation plans are laudable, but they will remain solely aspirational unless extra funds are earmarked to allow them to be delivered. The mantras of 'joined-up care' and 'care closer to home' are ideas that are widely supported. However, the 44 collaborative groupings set up across England have been ordered to make further financial savings in the delivery of care. No reorganisation of services ever succeeds without an initial increase in funding.
Beware also that, even before any STP has become operational, 8 of them are mandated to become Accountable Care Organisations, and more across England are planned to follow. They are to be run like the organisations with the same name that provide private insurance-based health services in the USA. Is this what we want in England?