Sussex and East Surrey Sustainability and Transformation Partnership

The Sussex and East Surrey Sustainability and Transformation Partnership (STP) brings together 24 organisations involved in the planning and provision of health and care services across the region.

This includes Surrey and Sussex Healthcare NHS Trust (SASH) along with other acute hospital trusts; CCGs; mental health; community services and local authorities.

Together we are focused on how the NHS and social care can work together to improve and join-up services to meet the changing needs of all of the people who live in our area.

As our population grows, and grows older, we need more health care and different services. Some of the services we have now, were not designed to meet the needs of today or the future and do not make the most of medical advances.

We want to do more to prevent illness, support people to manage existing health conditions and to stay independent. To do this we need seamless health and social care services.

The STP is a partnership and a new way of working. It ensures that all the health and care organisations in Sussex and East Surrey are working together in a joined-up way.

One of our priorities is to develop more community-based services, helping people to stay well closer to home. This will reduce demand on our hospitals, enabling them to improve their specialist services.

Working together in this way means that we can offer local people better care and better outcomes and make more efficient use of the resources available to us.

Progress so far

In November 2016, we published our ambitions for improving health and care for local people.

The STP will build on existing engagement work with local stakeholders; including the public and patients and we will continue to engage and consult with the people living and working in the communities we serve as we look to shape and sustain our services for the future.

Download the STP doument

We need to radically change the way we work if we are to successfully address the challenges we face. There has been a strong focus on developing the relationships and the processes for working together in this new way.

We have also established a clinical board, bringing together senior doctors, nurses, public health experts and other care professionals from all the partner organisations to oversee the development of health and care services.

The STP partners have agreed three priority areas for collective action to improve services, supporting any work that is already happening locally:

  • Urgent and emergency care
  • Mental health
  • Cancer care


In order to deliver our aspirations for improved health and care, and the most efficient use of resources, we are also coordinating our approach through the STP to workforce development, information technology and estates.

Closing the gap in our finances

Like all parts of the health and care system nationally, demand for our services is growing much faster than the resources we have available.

If we simply carry on providing services in the way we have in the past and do nothing to change the way we work, then by 2020-21 the gap between the resources available and the money we will have spent across the STP will be close to £900m.

That is why we must take the opportunity of the STP partnership to work together to make the best use of the available resources.

We believe that integrated and community-based health and social care, a focus on supporting people to stay well, more joined-up specialist services and a more effective use of our hospitals will enable us to offer people better health and better services within the available resources.

In addition, we are working together to ensure that every penny of the health and care budget is well spent. For example, reducing the reliance on expensive bank and agency staff, back-office costs, and the cost of ineffective treatments and wasted medicines.

Involvement and accountability

The STP is a partnership and a way of working. It has no powers to make decisions on behalf of the individual partner organisations. These powers continue to sit with each partner organisations’ board.

Partner organisations also remain responsible for involving their local communities, patients, the public, staff and clinicians in their plans and decision-making. The plans that make up the STP do not currently include any proposals to change clinical services that will require formal consultation.

We have a lot more work to do. In the months ahead we will be doing more to involve staff, patients, carers and others in this work.

Programme Board

The Programme Board sets the direction and priorities for the STP. It includes the chief officers or accountable officers of the eight CCGs, chief executives of the 12 NHS trusts and other providers, and the chief executives of the four local authorities within our partnership.

Programme Board meeting agendas, papers and minutes: