STP System Leadership Arrangements

The STP has been organised into a number of key themes and projects, known as ‘workstreams’. Each workstream is led by a clinician or lead social care professional, helping to ensure that our efforts are always focused firmly on improving the wellbeing of our population.

STP System Leadership Arrangements

Urgent and Emergency Care

  • GP streaming and reductions in A&E demand - right care, right place, right time
  • Improved clinical pathways to support urgent and emergency care priorities: stroke, chest pain, pneumonia
  • Improvement against performance targets

Primary Care

  • Extending access to GPs
  • Develop a GP resilience programme and support for vulnerable practices
  • Implementing new models of joined-up care in our communities

Planned Care

  • Reducing or stopping activity which has limited clinical effectiveness Managing demand for expensive treatments by advising earlier Improving the efficiency and effectiveness of treatment pathways, reducing variation Standardising clinical thresholds / eligibility Improving the sustainability and affordability of fragile services


  • Identifying frail patients and planning their care
  • Improving care and health in Care Homes
  • Develop and trial integrated community frailty service model to support people at home, specific focus on falls


  • Co-ordinating cancer prevention campaigns
  • Implementing the 2 week wait standard
  • Accelerating screening campaigns
  • Planning expansion of diagnostic centres

Mental Health

  • Expanding access to mental health services in acute (hospital) settings
  • Expert mental health support in GP practies
  • Expanding psychological therapies into treatment pathways for people with long term conditions
  • A new treatment pathway for autism.


  • Expand social prescribing
  • Champion cardio vascular disease reduction
  • Promote self-management of health conditions
  • Monitor health remotely through ‘Telecare’
  • Alcohol and obesity reduction initiatives

Clinical Support Services

  • Pharmacy efficiency improvements across the whole system
  • Medicines waste reduction
  • Pathology and radiology service improvements