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Health and social services need to be coordinated, STP's got people working enthusiastically together. The article suggests NHS England 'made up the policy on the hoof' and managers were under pressure to produce plans fast. NHS England gave fragmented guidance, coming in bursts with frequently insufficient time for responding to requests.
The plan says "“Action by the NHS is a complement to, but cannot be a substitute for, the important role for local government… in recent years it has also become responsible for funding and commissioning preventive health services, including smoking cessation, drug and alcohol services, sexual health, and early years support for children ...
"Strategic Health Authorities will provide strategic leadership to ensure the delivery of improvements in health and health services locally by PCTs and NHS Trusts within the national framework of developing a patient-centred NHS. They will lead the development and empowerment of innovative and uniformly excellent frontline NHS organisations.
It received praise for brevity, being only 39 pages, and lacking the illustrations which had graced its predecessors. Like the NHS Plan 2000 with which Stevens was also associated it was supported by the great and good of the NHS, but in this case it was regulators - Monitor, the Care Quality Commission and the like, rather than the Royal Colleges and Trades Unions of the earlier plan.
A report on the state of the NHS following the election of a Labour government in 2024, commissioned by Health Secretary Wes Streeting, led by the surgeon and former member of a Labour government Lord Ara Darzi (currently an independent peer) concluded that "The Health and Social Care Act of 2012 was a calamity without international precedent ...
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Accepting the review's recommendations, the government advised that NHS hospitals should phase out the use of the LCP over the next 6–12 months, and that "NHS England should work with CCGs to bring about an immediate end to local financial incentives for hospitals to promote a certain type of care for dying patients, including the LCP.
There are two sustainability and transformation plans for the county, one for West, North and East Cumbria, and one for Lancashire and South Cumbria. In March 2016 Amanda Doyle, Chief Clinical Officer of Blackpool Clinical Commissioning Group was appointed the leader of the Lancashire and South Cumbria Sustainability and transformation plan footprint.