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Sustainability and Transformation Plans - kill or cure for the NHS?

Local NHS areas have til June to try and submit convincing plans to dramatically improve healthcare whilst saving large sums of cash. But the decision making is secretive and dysfunctional.

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Predictions that the NHS is facing disaster have been issued so often that people no longer pay much attention. This time there is unanimity. Even normally government-friendly experts are in agreement, and for good reasons (1).

Since 2010 the NHS budget has been almost static, while the UK population has increased by two and a half million and is predicted to grow by 440,000 a year over the next ten years, with a growing proportion living longer and having more long-term illnesses (2). So it is no surprise that NHS hospitals in England look likely to have overspent their 2015-16 budgets by £2.5bn and that even so care quality is now seriously declining.