Sustainability and transformation plans

Sustainability and transformation plans (STPs) are five year plans for the future of health and care services in local areas. NHS organisations have come together with local authorities and other partners to develop the plans in 44 areas of the country. STPs represent a very significant change to the planning of health and care services in England.

Here we pull together our work on STPs and the support we can provide to local leaders involved in implementing them.

Supporting leaders

We worked with a number of local areas as they developed their STPs and are now ready to help local leaders as they implement them.

Reports and briefings

STPs in the NHS
Sustainability and transformation plans in the NHS: How are they being developed in practice?

Based on a series of interviews, this report looks at how STPs have been developed in four parts of the country.


Place-based systems of care
Place-based systems of care: a way forward for the NHS in England

Our report looks at how NHS organisations and services can move towards place-based systems of care.

The practice of system leadership front cover

The practice of system leadership front cover

The practice of system leadership: being comfortable with chaos

This report draws on the experiences of 10 senior leaders to look in depth at the skills needed to be a system leader.

From the blog

Involving patients and the public in developing STPs
Mark Doughty considers how patients and the public can be involved in developing STPs going forward.

Will STPs deliver the changes we wish see in our health and care services?
Nicola Walsh considers how local leaders and organisations will need to work together to ensure STPs lead to real improvements in care.

STPs: where are we now and what happens next?
Ahead of the publication of our report on the process of developing sustainability and transformation plans in England, Hugh Alderwick evaluates the story so far.

STP leaders face major challenges in transforming care and balancing budgets
Chris Ham discusses how sustainability and transformation plans are shaping up and the challenges they face.