Five Year Plan - Sustainability & Transformation Plans (STPS) The NHS Five Year Forward View, published in October 2014, considers the progress made in improving health and care services in recent years and the challenges that we face leading up to 2020/21. These challenges include: The quality of care that people receive can be variable Preventable illness is common Growing demands on the NHS means that local health and care organisations are facing financial pressure The needs and expectations of the public are changing. New treatments options are emerging, and we rightly expect better care closer to home. There is broad agreement that in order to create a better future for the NHS, all those with a stake in health and care must make changes to how we live, how we access care, and how care is delivered. The NHS Shared Planning Guidance, published in December 2015, asked every health and care system to come together to create their own ambitious local blueprint for accelerating implementation of the Five Year Forward View (5YFV). Sustainability and Transformation Plans (STPs) will be place-based, multi-year plans built around the needs of local populations. They will help ensure that the investment secured in the Spending Review does not just prop up individual institutions for another year, but is used to drive a genuine and sustainable transformation in patient experience and health outcomes over the longer-term. STPs will be delivered by local health and care systems or ‘footprints’: organisations working together to deliver transformation and sustainability. The footprints used will not cover all planning eventualities. As with the current arrangements for planning and delivery, there are layers of plans which sit above and below STPs, with shared links and dependencies. For example, neighbouring STP areas will need to work together when planning specialised or ambulance services or working with multiple local government authorities and, for areas within a proposed devolution footprint that cross STP boundaries, further discussion will be required in working through the implications. Other issues will be best planned at Clinical Commissioning Group (CCG) level.