RCoA response to the Health Select Committee inquiry into Sustainability and Transformation Partnerships and Accountable Care Organisations

The Royal College of Anaesthetists has submitted a response to the Health Select Committee inquiry into Sustainability and Transformation Partnerships and Accountable Care Organisations.

Summary of our response:
We welcome any initiative that improves patient outcomes and quality of care, and believe that the integration of services to provide a more coherent patient pathway is the right direction for the health and social care system.

Any decisions with respect to the development of Sustainability and Transformation Partnerships (STPs), and the further progress of the New Care Models programme, must be shaped by considerations of the quality of patient care; not the financial health of providers. 

Clinicians must be fully involved in the development, governance and delivery of the New Care Models and there must be proper consultation with patients and patient groups to inform decision-making.  Neighbouring STPs and the larger Accountable Care Systems (ACSs), and latterly Accountable Care Organisations (ACOs) must also work in a coordinated way to ensure that decisions taken by one geographic area do not negatively affect another.

Key recommendations:

  • NHS England and NHS Improvement must increase efforts to ensure clinical engagement in the development, governance and delivery of the STPs and other New Care Models programme, which must be coupled with proper consultation with patients and patient groups.  For their time, expertise and professional input, all stakeholders should be appropriately remunerated for their contribution
  • There should be a clear plan for clinical engagement through the existing Clinical Senates network and appropriate STP clinical forums, that must be adequately (re)aligned to the geographic boundaries and patient populations of STP areas
  • All STPs must have proper assessment regarding their impact on staffing requirements in anaesthesia, critical care, operating theatres and pain medicine services. This includes - but is not limited to - trauma, resuscitation, retrieval, invasive radiology, in-patient services requiring sedation or advanced pain relief, or the availability of intensive care
  • With the development of the New Care Models programme, NHS England and NHS Improvement must ensure that there is equity in the way transfers of care and retrievals are budgeted particularly when they cross boundaries.

You can view the full response here »
 

22 February 2018