Critical Review on Sustainable Transformation Plans of Coventry and Warwickshire

The report is a critical review on the sustainable and transformation plans on Coventry and Warwickshire. The report is divided between three sections. These sections are the critical review on the sustainable and transformation plans on Coventry and Warwickshire. The critical review has been done on the chosen STP and the Five Year Forward View and Five Year Forward Next Steps by NHS. The report also includes recommendations on how their services can be improved.

Running head: CRITICAL REVIEW
Critical Review
Name of the Student
Name of the University
Author Note

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Executive Summary
The purpose of the following report is to determine the changes that are being carried through the
United Kingdom in the present times. The NHS is one of the most important Government
organizations that has taken the initiatives for the change to make the system better. This report
is divided between three sections. These sections are the critical review on the sustainable and
transformation plans on Coventry and Warwickshire. The critical review has been done on the
chosen STP and the Five Year Forward View and Five Year Forward Next Steps by NHS. The
critical review is followed by the two aspects of the STP like stakeholder engagement and patient
service-based view. The recommendations have been made as well on how their services can be
improved. Thus the hospitals under NHS in Coventry and Warwickshire will thrive to work
better and smooth manner. This will be the main motivation for them to work properly and
according to the guidelines set by the NHS.

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Table of Contents
Introduction......................................................................................................................................3
Sustainable Transformation Plans...............................................................................................3
STP of Coventry and Warwickshire............................................................................................3
B. The aspects of the STP................................................................................................................6
Stakeholder engagement..............................................................................................................6
Patient service-based view...........................................................................................................7
Risk management programs........................................................................................................9
Planning and control....................................................................................................................9
C. Recommendations upon the critical review..............................................................................10
Conclusion.....................................................................................................................................13
References......................................................................................................................................14

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Introduction
The health system in United Kingdom has been going through several changes of late.
The different organizations in healthcare are arranging for the different systems that will improve
the ways of healthcare systems being provided. The NHS in United Kingdom has addressed
these issues in a way that the patients should be able to get the best treatment facilities and the
best care so they can come around faster. Some of the changes that have been applied in this
context are the Five Year Forward View (2012) and Five Year Forward Next Steps (2017).
These steps are really important for regulatory organizations like NHS to build up the healthcare
policies in a way that they should provide the patients with the best plans (England.nhs.uk 2018).
STPs are generally the five year plans that cover all the aspects of the NHS England. These plans
are based on the geographical places indeed. The different organizations under the NHS and the
different local authorities have also contributed positively in making the entire plans successful.
A. Critical Review
Sustainable Transformation Plans
The integrated care systems will have to be made better in order to provide better medical
facilities to all the needy patients. These plans work as the stepping stones for providing the best
kind of treatment facilities to all the patients (Black 2013).
STP of Coventry and Warwickshire
The main aim of the STP of Coventry is to provide the patients with the best upgraded
clinical services that they can afford financially as well. This is definitely a very good cause for
the people. They are looking forward to develop the Accountable Care System that will be highly
important for the welfare of the patients (England.nhs.uk 2018). The services will have to be

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consolidated and the work for this consolidation process is going on very strongly as well
(Robert et al. 2015). They are looking to increase the productivity and efficiency of the back
office executives in this STP so they are looking to increase their functions. The sustainable
transformation plans will have to be implemented for the betterment of the patients
(England.nhs.uk 2018). It is advisable that the stakeholder engagement should be implied across
all the STPs for the betterment of the people indeed.
The NHS officials have gone through all the things in the matter and they will likely to lay
the foundation for the entire development of the scenario so they will be able to implement the
transformation plan (Robert et al. 2015). All the necessary stakeholders in this process will be
involved in this process altogether. Some of the areas in which they will work on in this section
are the Productivity and Efficiency Care, Planned Care that includes the divisions like Maternity,
Paediatrics and Cancer, Urgent and Emergency Care, Proactive and Preventive Care and other
things (England.nhs.uk 2018). They will like to engage with all the patients and their families so
they can deliver the best facilities to them. The administrators of this STP will look to indulge in
the best practices regarding the financial, clinical and strategic activities. It has been found out
the largest part in this transformation plan will be discussed on the development of the planned
care services (Alderwick et al. 2016).
The staffing in the government hospitals and the different services in those hospitals are very
important things to be noticed hereThey have planned some ways to implement their
transformation plan. These are as follows:-
 They are keen on developing the efficiency across the different organizations and within
their management as well (Alderwick and Ham 2017).

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 They want to implement these changes through a thorough understanding of how these
activities would be taken care of.
 They want to make sure that all the activities are implemented for the future growth of
the organizations.
 The two things that would be included in the transformation programs are the public
health and mental health.
 The authority should always include all the important stakeholders, staff and the
communities. The plans should be implemented properly as well.
 All the opportunities for the changes should be implemented properly for the
improvement in the business and clinical contexts.
The different changes that have been proposed and somewhat implemented to their programs
are the implementation of the proper stakeholder engagement across the organizations in the best
ways in all the levels of the STP programs, designing the proper program structure and remission
of the work streams, maintaining the entire new system and putting all the necessary things into
the entire process (Dunhill 2016). All these things would be gone through and looked after by the
Design Authority that will have different and independent chairpersons. There are many
challenges for the organization like NHS to deal with in this matter (Quilter-Pinner and Antink
2017). The different experts in this concerned field have said that these changes in the STP of
Coventry and Warwickshire should be much helpful for the improvement in the situation. It is,
therefore, very clear that the development in the mental health and physical health of the patients
should be the ultimate motto for initiating the changes. The staffs and other member of the NHS
community should look after all the serious issues properly.

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This is why they will have to discuss these issues on the impact of these transformations on
the well being of their stakeholders. The plan will lead the area like Coventry and Warwickshire
to get the best benefits from the change plans (Di Somma et al. 2015). The primary care will be
discussed with priority in this section as well. They will focus on some key areas like the shorter
staying of the patients at the hospital, bringing down the chances of illness for the patients,
increasing the opportunities for the rehabilitation of the ill patients. It will also be looked after
that the patients can feel independent in the hospitals (Gao, Li and Luo 2015). The after-care will
be provided to the patients more frequently than ever. As the experts say, this will be very much
beneficial for the patients since they will not have to run much to the hospitals again and again.
The general health of the patients will be looked after in a better manner. The post-code lottery
effect will be eradicated from the system so this will be very helpful for the patients and the
patients will not have attended the hospital every now and then indeed.
B. The aspects of the STP
The different aspects of the STPs will be looked after in this section. These are the
stakeholder engagement and the patient service-based view.
Stakeholder engagement
One of the most important sections of the STP of Coventry and Warwickshire is the
stakeholder engagement. The key stakeholders for the NHS will be given the most importance.
They will be treated with the utmost priority indeed. The most important stakeholders for this
context are the patients and their families and the Government. The NHS organizations will have
to make sure that all these stakeholders are very closely related and they grow an understanding
between themselves (Geisler and Heller 2012). The proper communication between these

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stakeholders should always be maintained. The thoughtful communication should be made and
they should consult the necessary processes to take the best decisions within this agreement as
well. The Government should always give the best facilities to all the stakeholders so they can
employ the staff with the best measures for the betterment of the patients. The patients should be
given all the necessary importance so they can cooperate with the doctors and other medical
professionals (Geisler and Heller 2012). Some experts have discussed about this stakeholder
management issue for the Coventry and Warwickshire STP that the authority should focus on the
logistics supply properly. It is because the various machines related to surgery; emergency
medicines and many such things are delivered to the various hospitals. This should be a very
critical issue for the stakeholder management as well.
The pathology services should also be improved with the help of the concerned
professionals as well. The main workforce should always be retained so the hospitals can be able
to work very smoothly. The recruitment and retention strategies should be followed properly by
the internal stakeholders like the managers. This has been the major thing behind the success of
the organization in the best ways. All the transformation work streams should be supported in
order to maintain the proper integrity of the work ethics (Geisler and Heller 2012). According to
the various critics, the pathology services should be improved very much as well. It would
indeed be very appropriate for the organization to get the best results from their attempts to
improve the entire system.
The stakeholders will have to be engaged in the entire process to get the best outcomes
indeed. The local people will have to participate in this entire process so they can provide their
efforts as well. The feedbacks will have to be needed by the different stakeholders so the
performance of the NHS officials can be sought (Kongstvedt 2012). The organization will need

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to measure the performance of the various healthcare professionals in Coventry and
Warwickshire and bring betterments in the different planned care and emergency care settings
(Greaves and Millett 2012).
Patient service-based view
One of the most important things for the NHS healthcare professionals is the matter of
the patient-service based view. This has been considered very important for the up gradation of
the experiences in the healthcare management. The prevention and cure of the diseases will
indeed be verey much important for the organization like NHS. There are some aims that NHS
will take up in the case of STP like Coventry and Warwickshire. The planned care will be on
their cards to improve the performance. They are always keen on providing the customers with
the best opportunities to gain the best experience when they get admitted in the hospitals run by
NHS. It has been also said that all the stroke patients will receive the best treatments in the acute
stroke units (Kongstvedt 2012).
The sustainable practices should be followed in the NHS hospitals in Coventry and
Warwickshire so the best outcomes for the patients can be received. The patient service-based
view will be looked after with much seriousness as the main purpose for NHS will be to increase
the better facilities (Black 2013). The organization like NHS will be very much keen on
providing the patients with the best healthcare as per the health guidelines in UK are concerned.
The GP services will be increased as well. This is why the hospitals will need to increase the
number of their staffs like doctors and nurses. The emergency care will be developed for those
patients who need urgent medical facilities (James 2013). In this scenario, it can be said that
some of the medical practitioners like the doctors, nurses and others had come up for a meeting
to discuss the various issues that arise within this context. In this meeting, it can be said that the

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medical practitioners should always provide the best services to the patients. The patients should
be treated with utmost care and the timely treatment. It was a unanimous decision by all of them
indeed (Kongstvedt 2012).
Risk management programs
The Coventry and Warwickshire STP always engages in the betterment of the persons
being treated under them (Black 2013). This will surely increase the effectiveness of their
programs. The preventive care unit and the maternity care unit always address the risks with the
best responses. Actually, they do not have the public health and mental health work streams
being arramnged separately (James 2013) The essential things in this matter can be stated as the
people who are concerned in the STP programs for Coventry and Warwickshire always look
forward to avoid all the serious risks and provide the services in a manner that no risks can be
raised. They have the most efficient public health and mental health programs and they cater to
provide the best services to the community in a proactive manner. The critics like Kongstvedt
(2013) has said that the organization should be putting much stress on the cutting down the use

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of the agency staffs with the ‘knock on effect’ indeed. It has been questioned many times
whether the sustaibale services can be provided through the current workforce. The reduction of
the home births bears enough significance in this scenario (James 2013). They have highly
skilled people in their integrated teams. This helps them to build up the awareness among people
on how to build a proper structure to reach the best services all over the country (James 2013).
As a part of their risk management strategies, they have also implemented the new stroke
pathway. The social care will be provided to the patients and the patients are supported well
whenever they are in the emergency care system. The current and financial and managerial
challenges will have to be curbed in this matter as well. The increasing pressures should be
handled by raising the budget and funds indeed (Robert et al. 2015).
Planning and control
Another important section of this NHS STP is the planning and control of the entire
process. They are planning to make the maximum use of their capacities. This will surely
enhance their abilities indeed. This will help them to control the increasing number of the They
are also planning to improve their social care as well (Dunhill 2016). This will give them a better
place in the medical scenario (Robert et al. 2015). The patients are on their primary focus and
this will be very important for Coventry STP to support the best recovery options and provide the
rehabilitation support for them as well (Greaves and Millett 2012). The acute care systems are
also designed for the perfection of the patients’ health as well. One of their best plans is to
consolidate the most important services (James 2013). This will surely cater to provide the best
services to the patients indeed. The clinical support is always provided to the patients and this
calls for the integration among the entire workforce. The work stream should be allowed to
function independently and improve the stakeholder engagement as well (Robert et al. 2015).

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The critics have always been discussing about the planning of all the strategies and the timely
execution.
C. Recommendations upon the critical review
The STPs will need to be improved from all the aspects. The patient service-based care
should have to be improved in the best ways as well.
 The ambulances should be available all the time that can carry the ailing patients to the
hospitals. Otherwise, it will be a real trouble for the families of the patients to take the
patients to the hospitals in case of any emergency (Black 2013).
 The primary care services should be very much available in all the cases. The best quality
doctors and nurses should always be recruited in the NHS governed hospitals.
 The governance of the NHS should be made in a way that no problems should be faced
by the patients at the time of their operations (Kongstvedt 2012).
 The clinically sustainable practices should be followed in Coventry and Warwickshire.
The NHS authority should make it sure that the budget funding should be made adequate
so the patients do not have to carry the burden of extra expenditure (Greaves and Millett
2012).
 The NEL admissions should be brought down in this context as well (Kongstvedt 2012).
 The workforce challenges should be overcome to make their services sustainable enough.
 The pay roll of the employees should be increased as well. The cost analysis should be
made in a better way as well (James 2013).

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 The stakeholder engagement should be increased from various angles as well. In order to
engage the stakeholders, the NHS organization should always hold meetings with them
and make clear the demands and requirements they have.
 The proper communication between the employee level and management level should
always be very smooth. The work streams should also be communicated effectively in
this manner as well. The effectiveness of this communication will surely intensify the
levels of their success (James 2013).
 It is recommended that the plans should be implied and put into the proper practice.
 The implementation plans should be addressed and executed efficiently with the care of
the most effective experts in the field (Dunhill 2016).
 All the work streams in the process should be provided with the best resources. The
transformation of the work streams should be done in a manner that their consolidation
can be done. The detailed plans should be initiated and practiced effectively.
 The teams should always be integrated and coordination should be achieved to gain the
best results in the entire matter (James 2013).
 The silo approaches should be taken care of with much attention for the benefit of the
organization (Dunhill 2016).
 It is also expected that the delivery should be made on time so the betterment in the entire
process can be felt positively.
 The budget, funding, capital resources should be practiced in a unique way so the
organization never runs out of fund.
 The network development for the organizations should be made so the services can reach
the interior areas as well.

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Findings of the above sections
In the above sections, many important issues have been highlighted and it has been found
out that the NHS STP of Coventry and Warwickshire has been very efficient in providing the
best services to the people of the region. Mostly it has to be said that the organization will need
to implement the changes in an effective manner so they can be able to overcome all the
challenges indeed. The various aspects of the STP have been discussed over here. It can be said
from the above discussion it is very important to manage all the risks that arise in the functional
operations. The budget and funding problems should be handled with much caution and attention
(James 2013). This will bring about the positive changes in the entire process. It is also very
important to implement the planning and control systems. This will further enhance the smooth
communication between the employees and the senior management team. The footprints will
have to be set and this will surely cater for the betterment of all the things in the mix. The focus
or priority should always be given to the various issues like transforming the systems for a better
and sustainable future (Black 2013).
The patient-based service view is also a very essential thing as well. This highlights the
importance of providing the best facilities to the patients in case of emergency. The concerned
people should always carry out the sustainable practices (Black 2013). Thus the organization
must incorporate all the necessary ingredients into the entire process. The organization should
always provide the best care for the patients. The risk management should be given special
attention as well. The various risks within the organization properly. This is why the organization
will need to build up a committee by including their major stakeholders. Thus they can consult
with them and take their guidance to provide the patients with a better service all the time (Black
2013). The stakeholder management is also a very serious issue in this case. The various

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stakeholders should always give the best advices to the management. It can be advised that the
pathology services in the organization should be developed as well (James 2013). Thus the STP
in Coventry and Warwickshire will be able to gain the trust of the people in that area. As per the
critical review, it can be suggested that the independent chairpersons should address the issues
and these issues should be handled properly as well (Black 2013).
Conclusion
This paper can be concluded by saying that the STPs in the NHS are very much important
to take care of the several issues in healthcare. These STPs will have to be implemented in the
coming years to provide the best facilities for the patients and their families. The primary
purpose of these sustainability and transformation plans is to make the healthcare system in the
country much competitive so they can achieve their main objective of patient welfare. The
budget funding is also been discussed in these STPs. The STP of Coventry and Warwickshire has
been criticall reviewed in this paper along with the discussing the best ways how they can be
utilized for the benefit of the patients. The fact of cost effectiveness in their budgets has also
been discussed here as well.

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References
Alderwick, H. and Ham, C., 2017. Sustainability and transformation plans for the NHS in
England: what do they say and what happens next?. BMJ: British Medical Journal (Online), 356.
Alderwick, H., Dunn, P., McKenna, H., Walsh, N. and Ham, C., 2016. SUSTAINABILITY AND
TRANSFORMATION PLANS IN THE NHS. King's Fund.
Black, N., 2013. Patient reported outcome measures could help transform healthcare. BMJ
(Clinical research ed), 346, p.f167.
Di Somma, S., Paladino, L., Vaughan, L., Lalle, I., Magrini, L. and Magnanti, M., 2015.
Overcrowding in emergency department: an international issue. Internal and emergency
medicine, 10(2), pp.171-175.
Dunhill, L., 2016. Revealed: NHS England checklist for making STP details public. Health Serv
J.
England.nhs.uk (2018). [online] England.nhs.uk. Available at: https://www.england.nhs.uk/wp-
content/uploads/2014/10/5yfv-web.pdf [Accessed 16 Jul. 2018].
England.nhs.uk (2018). [online] England.nhs.uk. Available at: https://www.england.nhs.uk/wp-
content/uploads/2017/03/NEXT-STEPS-ON-THE-NHS-FIVE-YEAR-FORWARD-VIEW.pdf
[Accessed 16 Jul. 2018].
England.nhs.uk (2018). NHS England » Integrated care. [online] England.nhs.uk. Available at:
https://www.england.nhs.uk/integratedcare/ [Accessed 16 Jul. 2018].
England.nhs.uk (2018). NHS England. [online] England.nhs.uk. Available at:
https://www.england.nhs.uk/ [Accessed 16 Jul. 2018].

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England.nhs.uk, N. (2018). NHS England » Coventry and Warwickshire STP. [online]
England.nhs.uk. Available at:
https://www.england.nhs.uk/integratedcare/stps/view-stps/coventry-and-warwickshire/
[Accessed 16 Jul. 2018].
Gao, Y., Li, H. and Luo, Y., 2015. An empirical study of wearable technology acceptance in
healthcare. Industrial Management & Data Systems, 115(9), pp.1704-1723.
Geisler, E. and Heller, O. eds., 2012. Managing technology in healthcare (Vol. 1). Springer
Science & Business Media.
Greaves, F. and Millett, C., 2012. Consistently increasing numbers of online ratings of healthcare
in England. J Med Internet Res, 14(3), p.e94.
James, J.T., 2013. A new, evidence-based estimate of patient harms associated with hospital
care. Journal of patient safety, 9(3), pp.122-128.
Kongstvedt, P.R., 2012. Essentials of managed health care. Jones & Bartlett Publishers.
Powell, J., Roginski, C. and Cluster, N.A., EVIDENCE-BASED COMMISSIONING IN THE
ENGLISH NHS. Who uses which sources of evidence? A SURVEY 2010/2011.
Quilter-Pinner, H. and Antink, B., 2017. STPs: Kill or cure?.
Robert, G., Cornwell, J., Locock, L., Purushotham, A., Sturmey, G. and Gager, M., 2015.
Patients and staff as codesigners of healthcare services. Bmj, 350, p.g7714.