The NHS Long Term Plan Implementation Framework: 2020 Delivery can help develop STP and ICS strategic plans

The NHS Long Term Plan Implementation Framework: 2020 Delivery can help develop STP and ICS strategic plans
Jun 28th 2019

The NHS Long Term Plan (LTP) states that the whole of England will be covered by Integrated Care Systems by 2021.[1] In helping to deliver this aspiration, the NHS has published the LTP Implementation Framework. This sets set out the approach STPs and ICSs are expected to take to produce five-year strategic plans, with draft submissions due by the end of September 2019 and final agreed plans published by November 2019.

What are systems being asked to do?

STPs and ICSs will be expected to provide two elements in September and November 2019:

  1. A strategy delivery plan – a document setting out what the system plans to achieve through to 2023/24
  2. Supporting technical material – modelling and plans for activity, finance, workforce, and the key metrics outlined in the LTP Implementation Framework

In developing the strategy delivery plan, STPs and ICSs are being asked to take an integrated approach, with member organisations and wider partners working closely together. Plans are expected to employ a number of principles:

  • Being clinically-led – senior clinicians taking a prominent role in the development of plans
  • Being locally-owned – engagement and co-development with local communities, the voluntary sector and other local partners. This must include strong engagement with Local Authorities
  • Being supported by realistic workforce planning – workforce plans must be matched to activity and funding
  • Being financially balanced – financial modelling must demonstrate how the strategic plan will be delivered within the available resources, with additional detail on how the five ‘Financial Tests’ within the LTP will be met
  • Ensuring delivery of the LTP commitments and national access standards – this must include cancer treatment, mental health and A&E performance, and reduction in waiting times for elective care
  • Phased based on local need
  • Ensuring reduction of health inequalities and unwarranted variation – this should include using available data to benchmark against peers, identify and address health inequalities and target areas of unwarranted variation
  • Being focussed on prevention
  • Helping to drive innovation – plans should consider how local innovation can be harnessed

How can 2020 Delivery help?

Building on over a decade of experience, 2020 Delivery have deep expertise in supporting health and care systems to design, develop and deliver strategic plans. We have a range of services which can help STPs and ICSs respond to the requirements laid out in the LTP Implementation Framework, whether they are early in their journey or much more mature.

If you’re a leader tackling the challenge of health and care integration, please get in touch to discuss where you are on this journey and how 2020 Delivery’s experience could help you.

  • David Legg ( David works with health systems to formulate strategies to transform outcomes and performance, facilitate agreement between partners and plan for successful delivery. He brings over a decade of experience in healthcare, supporting both commissioners and providers to transform physical and mental health services
  • Russell Cake ( Russell co-founded 2020 Delivery in 2006 and leads our Strategy practice. He combines client service to government departments and healthcare organisations with research into healthcare system performance. Russell brings 20 years of experience to his work helping healthcare leaders to develop evidence-based responses to the strategic challenges facing the health service. He has supported several major system reconfigurations, advising on financial and activity strategy, capital investment, stakeholder engagement, and delivery planning
  • Antonio Weiss ( Antonio leads our Digital service transformation practice, advising senior clients on user-centred design, innovation thinking, and utilising technology to redesign public services to meet citizens’ needs. He is a globally recognised and published thought-leader on business strategy and management
  • Jonathan Chappell ( Jonathan is a Director at 2020 Delivery, leading on strategy work across healthcare, higher education and digital services. He is sought out by senior leaders to assist in the most challenging political and partnership developments, to develop robust and saleable business cases, and to bring people together in their implementation. He has extensive experience from all perspectives in the health and care system, including in Academic Health Science Centres (AHSCs) and developing new models that truly integrate mind and body care. He has also worked in higher education and central government.