Intended for healthcare professionals

Letters Public health policy debate

STPs are based on flawed financial assumptions

BMJ 2017; 359 doi: (Published 05 December 2017) Cite this as: BMJ 2017;359:j5507
  1. John W L Puntis, consultant paediatrician
  1. Leeds Teaching Hospitals NHS Trust, Leeds, UK
  1. john.puntis{at}

Oliver says that sustainability and transformation partnerships (STPs) could “in theory” deliver benefits, while acknowledging that they have been criticised for “being rushed, for overpromising savings, and for lacking clinical engagement.”1 The key words are “in theory,” as STPs have much more fundamental problems.

As the mechanism for delivering the new models of …

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