What is an STP?

STP stands for sustainability and transformation partnership. These are 44 areas covering all of England, where local NHS organisations and councils have drawn up proposals to improve health and care in the areas they serve.

STP can also stand for ‘sustainability and transformation plan’, plans drawn up in each of these areas setting out practical ways to improve NHS services and population health in every part of England.

They aim to help meet a ‘triple challenge’ set out in the NHS Five Year Forward View – better health, transformed quality of care, and sustainable finances.

The local STP is called Joined Up Care Derbyshire.

Is the STP an organisation? Does it replace current structures?

An STP is not an organisation and will not replace the current structures. STPs are plans that simply provide a framework for different organisations to work together across the county and across communities to plan for the needs of their population from now until 2021.

How will I be kept informed about Joined Up Care Derbyshire and how can I get involved?

Joined Up Care Derbyshire sets out our five year plan until 2021. It is a live document and will continually evolve. This website contains the latest news updates about the plan.

We have been hearing from the public and staff in partner organisations over many months to inform the plan and raise awareness and understanding.

We want to make sure we listen to as many people as possible and continue to have conversations about how we deliver better, joined up care, much closer to where people live. Please see our ‘Get Involved’ page for more information.

Which organisations are involved?

Joined Up Care Derbyshire brings together organisations that either buy (commission) or provide health and social care services. See ‘Our partners’ page for more information.

How many jobs have been created/seconded to work as part of the STP/ICS?

The secondments working on the Derbyshire STP are:

Role Band Secondment
Director of Joined Up Care Derbyshire VSM Supporting Derbyshire from January until October 2018 when the role becomes substantive hosted by Derbyshire Healthcare FT
Director of Finance VSM Seconded from June 2018 for two days a week from Chesterfield Royal Hospital.
Programme Manager 8D Seconded from August  2017 from Derbyshire Community Health Services FT.
Head of Workforce 9 Seconded from August 2017 from Derbyshire Community Health Services FT.
Head of Communications and Engagement 8c Seconded from April 2017 from Southern Derbyshire Clinical Commissioning Group.
Programme support 6 Seconded from August 2018  from Erewash Clinical Commissioning Group.


What is the amount spent on external consultancy as part of the STP/ICS?

Consultancy fees to date shared across the Derbyshire STP and set out as a total cost:

Consultancy Firm Cost Purpose
GE Healthcare Finnamore Consultancy £579.7k has been spent to date  To develop and support the plan and management of the Derbyshire STP. Contract finished in May 2017 and handed over to core team.


What is the amount of capital/transformation funding identified as required in the original STP plan – and the amount of capital/transformation funding received to date or anticipated?

Our original plans did not specific highlight capital/transformation funding.

To date the Derbyshire system has been successful in securing capital funding as set out below:

WAVE 1 STP Capital Bid approved for £5.9m for the development in Belper. To find out more about the Belper plans visit http://www.southernderbyshireccg.nhs.uk/have-your-say/engagements/belper-health-services/

WAVE2 STP Capital Bid approved for £40m to University Hospitals of Derby and Burton FT (UHDB) and Chesterfield Royal FT. The business cases are now being prepared for both of the STP Capital approved bids, one for each main acute site.

What are the workforce projections for the STP/ICS including broad job roles – ie doctors, nurses etc?

Our STP document and business cases provide the details of our plans around workforce, which can be viewed on our website www.joinedupcarederbyshire.co.uk.

We did not commit to a projected workforce within our original STP and our current plans are to use a different skill mix and have more staff working in the community. The table below sets our current workforce figures:

NHS workforce FTE  General Practice FTE  Social Care workforce, headcount 
Medical Consultant 470 GPS excl registrars 555    
Medical Non-consultants, non-trained 121        
Registered nursing , midwifery, and health visiting staff 4,281 Registered nurses 343 Nursing - registered 880
Qualified scientific, therapeutic and technical staff 1,621 Direct patient care – registered 24 Regulated Profession 480
Health care scientists 233        
Support to clinical staff 4,139 Direct patient care – support 182 Direct care 19,350
NHS infrastructure support 1,841 Administration – clerical 1,267 Managerial 2,170
        Other 3,750
Total 12,721   2,371   26,630


What are the total number of acute beds and community beds projected as necessary for the STP/ICS?

As part of our original STP an estimate was made as to the likely reduction in beds across the county.  In the North of Derbyshire a number of beds have already been closed as part of Better Care Closer to Home, where extensive consultation was undertaken. For more information visit http://www.northderbyshireccg.nhs.uk/better-care-closer-to-home

A full capacity and demand profile of our acute and community beds across the Derbyshire system is currently being planned.  Until the outcome of that work in late 2018/early 2019 we will not be in a position to clearly articulate the projected bed numbers.

We can provide you with a figure for our current bed numbers using the Daily Bed State the figures are:

  • 907 Acute beds in Derby
  • 474 Acute beds in Chesterfield           
  • 122 Community beds for Derbyshire

What was the original financial projections of the gap, when the STP was drawn up, (if there is a gap) between income and expenditure in the area and the latest projections?

When the STP was produced in 2016 we stated that by 2021 there will be a £219m financial gap for Derbyshire’s health system – with an extra £136m gap for local authority care costs if organisations carry on working as they do currently, and services are used and offered as they are today.

We reported in 2017 that the cost of delivering services this year is currently set to be £80 million more than the annual budget we receive.

Progress is being made this year against our financial position and our CCGs this year agreed a full list of opportunities which was developed and submitted to NHS England, with a value of £51m. In July all these schemes were reviewed and have either been confirmed for delivery in 2018/19 with a forecast in-year value of £51m, or for potential delivery in 2019/20.

How can I find out more information about STPs?

How can I find out more information about ICSs?

Visit the NHS England website to find out more about ICSs across England.

Contact details

If you have any questions about Joined Up Care Derbyshire please contact us by emailing the enquiries team or calling 0115 931 6244.

Alternatively, write to:

Joined Up Care Derbyshire,
Toll Bar House, Top floor,
1 Derby Road,