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About Us

Sustainability and Transformation Plan


In 2015, the NHS set out its Five Year Forward View, which describes the current and future challenges facing the NHS, and what needs to be done with the money available to enable the NHS to improve the health and wellbeing of local people and improve the quality of local health and care services.

To make this happen, organisations who are involved in providing health and social care are working together across footprints. There are 44 footprints across England.

Our local footprint is Bath and North East Somerset, Swindon and Wiltshire, and covers a population of almost one million people. It includes Great Western Hospital, Salisbury Foundation Trust, Clinical Commissioning Groups, local Councils, South West Ambulance Service, Avon and Wiltshire Mental Health Partnership Trust and community service providers.

Each footprint must develop a collective long term plan to describe how together we can continue to provide high quality care, which meets the needs of our local populations at a time when services and finances are under immense pressure.

Alongside his role as the RUH Chief Executive, James Scott, is leading on the development of the plan for our footprint.

Working together to transform services

The health and care needs of our local population across B&NES, Swindon and Wiltshire are diverse and we are developing a joint approach that takes this local variation into account, and will not replace individual organisational plans or work already going on locally to improve local services.

Key priorities of the STP:

  • To provide improved person-centred care by strengthening and integrating the specialist services that support primary care
  • To shift the focus of care from treatment to prevention and proactive care
  • To redefine the ways we work together as organisations to deliver improved individual/patient care
  • To ensure we offer staff an attractive career and build a flexible, sustainable workforce
  • To strengthen collaboration across organisations to directly benefit acute and urgent care services

Drawing on the experience and clinical expertise of our workforce and those that use health and care services, as well as their carers, will help us to redesign services and to develop new models of care that are sustainable.

Our emergent plan is available here. This sets out our emerging priorities to improve health and care services for people who use these services, and new ways for the NHS, local authority and other key organisations to work together in order to meet the challenges facing the health and care system. Over the coming months there will be opportunities for service users, their families and carers, and other members of the public to get involved to help us to shape and build on these priorities.

If you have any questions or feedback, please get in touch by email to or contact your local Healthwatch office.


STP Short Guide

STP Emergent Plan - full guide

Further information

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