1. STP Update – West Midlands
06/07/2016

2. What are STPs?
The NHS Shared Planning Guidance asked every local health and care system in England to come together to create their own ambitious local plan for accelerating the implementation of the Five Year Forward View (5YFV).
These local plans, called Sustainability and Transformation Plans (STPs), will be place-based, multi-year plans built around the needs of local populations.
STPs must cover all areas of CCG and NHS England (NHSE) commissioned activity including: specialised services; primary care; local authority services – including prevention and social care and reflecting local health and wellbeing strategies.
44 STP ‘footprint’ areas have been agreed that will bring local health and care leaders, organisations and communities together.
Footprints now have confirmed leaders in place, who will be responsible for overseeing and coordinating the STP process locally.

3. 5YFV Vanguards CEPNs UECNs
Leading on new care models
Prime Minister’s GP Access Fund
Improving access to GP and primary care services
CEPNs
Community Education Provider Networks
UECNs
Urgent and Emergency Care Networks
Sustainability and Transformation Plans (STPs)
Dec 2015: place-based, multi-year planning based on local population need
5YFV
Oct 2014: Five Year Forward View; shared vision for future of NHS based around new ways of working
Trusts
CCGs
PIV
Primary Care
Local Authority
NHS England
Local Workforce Action Boards (LWABs)
Other local advisory groups
Health Education England
Health and Wellbeing Boards
NHS Improvement
Public Health England
Care Quality Commission
National Institute for Health and Care Excellence

4. West Midlands STP areas
Coventry and Warwickshire
STP lead: Andy Hardy, Chief Executive, University Hospitals Coventry and Warwickshire NHS Trust
Workforce lead: Karen Martin, Chief Workforce and Information Officer, University Hospitals Coventry and Warwickshire NHS Trust
Herefordshire and Worcestershire
STP lead: Sarah Dugan, Chief Executive, Worcestershire Health and Care NHS Trust
Workforce lead: Jo Galloway, Chief Nursing Officer, Redditch and Bromsgrove CCG and Wyre Forest CCG
Birmingham and Solihull
STP lead: Mark Rogers, CEO, Birmingham City Council
Workforce lead: Tracy Taylor, Chief Executive, Birmingham Community Healthcare NHS Trust
Black Country
STP lead: Andy Williams, Accountable Officer, Sandwell CCG
Workforce lead: Paula Clarke, Chief Executive, The Dudley Group NHS Foundation Trust
Shropshire and Telford and Wrekin
STP lead: Simon Wright, Chief Executive, Shrewsbury and Telford Hospital NHS Trust
Workforce lead: Victoria Maher, Director of HR, Shrewsbury and Telford Hospital NHS Trust
Staffordshire
STP lead: John MacDonald, Chair, University Hospitals of North Midlands NHS Trust
Workforce lead: Neil Carr, Chief Executive, South Staffordshire and Shropshire Healthcare NHS Foundation Trust

5. National Workforce Advisory Board (WAB)
HEE’s role in STPs
Health Education England (HEE) is establishing Local Workforce Action Boards (LWABs) to coordinate and support the workforce requirements for each STP footprint:
LWABs will have a line of accountability to the national Workforce Advisory Board (WAB)
Each LWAB will be co-chaired by a senior member of HEE staff and a CEO within the STP footprint
Membership will be drawn from health and social care organisations within the STP
LWABs will act as delivery groups alongside other relevant enabling functions within the STP governance arrangements
LWABs will be able to access transformation resources from HEE and the 5YFV Transformation Fund through the regional Arms Length Body (ALB) set up, as well as any local financial or in kind support available from stakeholders
National Workforce Advisory Board (WAB)
Implementing 5YFV vision
Arms Length Body (ALB) and social care membership
Focused system-wide action around four priorities:
workforce challenges for ‘here and now’ e.g. GPs, nursing, paramedics
Transforming the Mental Health and Learning Disability workforce
Primary and Community Care workforce
Disseminating best practice
Collaborative approach on GP ten point plan; on nursing supply, taskforce implementation groups
The LWAB Terms of Reference have been agreed. The two main functions of the LWABs are to support STPs with regards to workforce issues and to support delivery of the HEE Mandate.
The six Arms Length Bodies (NHSE, NHSI, HEE, CQC, PHE and NICE) have agreed to work to a structure of 4 regions, broadly aligning to HEE’s Local Education and Training Boards (LETBs): North, Midlands & East, London and South.

6. West Midlands STPs mapped to LWABs
Footprints of the LWABs will align to existing LETC boundaries.

7. How LWABs relate to LETBs
The LETB (Local Education and Training Board) committee remains responsible for providing advice to the Board of HEE on the planning and commissioning of the future NHS workforce.
The local offices of HEE will support both LETBs and LWABs, thereby ensuring an integrated view of future and current workforce is maintained.
LETBs will take full account of LWAB and STP decisions when delivering their own responsibilities and advising the relevant HEE Directors and the HEE Board.
HEE’s LETBs are statutory committees of HEE’s Board with defined advisory functions around education, training and workforce planning for future workforce supply.
LWABs will have a broader scope, extending beyond the core functions of LETBs.
LWABs will develop solutions for STPs across current and future workforce related activity so that the people elements of the 5 year service strategy can be identified and delivered.

8. Elements to deliver workforce transformation
Workforce Information, Planning and Intelligence
Leadership, Culture and Organisational Development
Education and Training Development
Workforce Transformation

9. What will LWABs do?
Agree the system wide workforce changes and ensure collective delivery of necessary actions. For example,
Workforce transformation initiatives, covering:
Up-skilling: safety and sustainability of care through transition, as well as a more holistic and agile approach and Making Every Contact Count (MECC)
New roles: this is distinct from enhanced competencies e.g. Physician’s Associates
New Ways of Working: a collective leadership culture, improved flexibility and a workforce which embraces research and innovation
Supply: to include return to practice and career development
Strategic HR issues:
Effective management of the paybill e.g. reduction of agency costs, etc.
International Recruitment
Develop new apprenticeship frameworks

10. LWAB Priorities
The LWABs have 2 areas of responsibility:
Supporting STPs across a broad range of workforce and HR related activity
Local delivery of HEE mandate and strategic priorities affecting STPs
The LWABs will develop 4 key products as part of the Sustainability and Transformation plan:
A comprehensive baseline of the NHS and social care workforce within the STP footprint and an overarching assessment of the key issues that the relevant labour markets(s) present. This will describe the workforce case for change.
A scenario based, high level workforce strategy that sets out the workforce implications of the STP’s ambitions in terms of numbers and skills, including leadership development.
A workforce transformation plan focused on what is needed to deliver the service ambitions set out in the STP.
An action plan that proposes the necessary investment in workforce required to support STP delivery, identifying sources of funds to enable its implementation.

11. Midlands and East Offer
Current Work in the West Midlands
Support available to the STP process across the West Midlands includes:
A system workforce planning offer through the Integrated Care Transformation Theme;
A system leadership offer;
A ‘Workforce Planning within a System Planning context’ resource (currently in development);
Updating the Recipe for Workforce Planning to reflect changes to the system (currently in development).
The five West Midlands Transformation Themes, established in April 2015, feed into the STP priority areas. The five Transformation Themes are: Integrated Care; Leadership; Mental Health & Learning Disabilities; Primary & Community Care; Urgent & Acute including Emergency Medicine.
Work under development across Midlands and East
Work is being undertaken by HEE across the Midlands and East geography to produce a consistent offer in support of the Sustainability and Transformation Footprints including:
A clear framework to structure the offer;
Sharing best practice across the geography via the three HEE local teams;
Development of a dashboard showing aggregated workforce information at STP level;
Compilation of a Resource Directory of tools, processes, case studies etc. which offer further support to the STP process.

12. Timeline to July 2016
STP Footprints are working towards the 30 June submission having received their feedback from the national 1:1 sessions.
22 May
3 June
10 June
16 June
30 June
1-6 July
July
Letter from SPGs to NHS England confirming what will be in June submission
Feedback letter from national 1:1 sessions
Progress calls and prep for July 1:1 sessions
1:1s with Simon Stevens and Jim Mackey
Regional draft submission
Regional assurance of plans
June submission

13. Timeline to March 2017
Indicative guidance has outlined the proposed next steps for STP development. There is the potential for a further submission date in Autumn, no later than 16 September.
Final plans would be signed off in March 2017.
30 Jun 16
July 16
August 16
September 16
October 16
December 16
March 17
Review performance to allocate Sustainability and Transformation Funding (STF)
Tailored support to develop and implement plans
Monitoring and assurance across ALBs
STPs inform NHSE
business planning
Metrics developed to measure STP plans
June submission
Plans signed
off
Potential Autumn
submission
Further guidance will be obtained from national colleagues as plans are confirmed

14. Contacts Work Area Name & Role Contact Coventry and Warwickshire STP
Herefordshire and Worcestershire STP
Catherine Sills, Workforce Development Specialist
Birmingham and Solihull STP
Stuart Baird, Workforce Development Specialist
Black Country STP
Della Burgess, Workforce Development Specialist
Shropshire and Telford and Wrekin STP
Staffordshire STP
Heather Pitchford, Workforce Development Specialist
Integrated Care Transformation Theme
Sarah Copley, LETC Lead
Primary and Community Care Transformation Theme
Karen Storey, Primary Care Lead Nurse - Workforce
Leadership Transformation Theme
Lucille Legiewicz, Programme Manager
Mental Health Transformation Theme
Chris Malvern, Workforce Development Specialist
Urgent, Acute and Emergency Medicine Transformation Theme
Matt Aiello, Programme Manager
Leadership Programme Lead
aligned to Birmingham and Solihull, Shropshire and Telford and Wrekin and Staffordshire STPs
Adam Turner, Programme Lead
aligned to Black Country, Coventry and Warwickshire and Herefordshire and Worcestershire STP
Karen Adams, Programme Lead