Sustainability and Transformation Plan (STP)

The health and care system across North Central London (NCL) - clinical commissioning groups, local authorities and NHS providers - are working together to develop an NCL-wide sustainability and transformation plan (STP).

This will set out how local health and care services will transform and become sustainable over the next five years, building and strengthening local relationships and ultimately delivering the Five Year Forward View vision.

For the NHS to meet the needs of future patients in a sustainable way, we need to close the gaps in health, finance and quality of care between where we are now and where we need to be in 2020/21.

In order to create a better future for the NHS, we must make changes to how local people live, access care, and how this care is delivered. This doesn’t mean doing less for patients or reducing the quality of care provided. It means more preventative care; finding new ways to meet people’s needs, and identifying ways to do things more efficiently.

Our vision

  • To improve health and wellbeing outcomes for the people of North Central London and ensure sustainable health and social care services, built around the needs of local people.
  • To develop new models of care to achieve better outcomes for all; focused on prevention and out of hospital care.
  • To work in partnership to commission, contract and deliver services efficiently and safely.

The STP is an opportunity to continue to work together over the North Central London area (known as a ‘footprint’) and look at how we can do this better. This is a challenging piece of work, but the opportunities to improve care and the quality of health and care services are considerable.

We are currently developing our plan on an iterative basis. We made a submission to NHS England in June setting out our initial thinking which we are continuing to refine and develop.

The draft North Central London STP which was originally submitted in October 2016 has been refreshed at the end of January 2017 to reflect further work on the plan since the original submission.

In January 2019, the NHS Long Term Plan was published. North Central London's Clinical Commissioning Groups (NCL CCGs) (made up of Barnet, Camden, Enfield, Haringey and Islington) have been working together to determine how best to deliver the requirements outlined in the Long Term Plan, and in turn, improved outcomes for our residents. This will involve working with local authorities, providers and the voluntary sector to provide more joined-up care through an Integrated Care System.

We have outlined our current thinking which you can view in the presentation 'NHS Long Term Plan in NCL August 2019'. We continue to receive questions from residents and people working within the health and care sector in North Central London and we have answered some of these here 'NCL Change Programme' FAQs August 2019'.

Get Involved

There are a number of ways you can get involved in these discussions:

The following organisations are working together on the NCL STP:

Clinical Commissioning Groups: Barnet, Camden, Enfield, Haringey and Islington.

Local Authorities: Barnet, Camden, Enfield, Haringey and Islington

Providers: Barnet, Enfield and Haringey Mental Health NHS Trust; Camden and Islington NHS Foundation Trust; Central and North West London NHS Foundation Trust; Central London Community Health Care NHS Trust; Great Ormond Street Hospital; Moorfields Eye Hospital; North Middlesex University Hospital NHS Trust; Royal Free London NHS Foundation Trust; Royal National Orthopaedic Hospital; Tavistock and Portman NHS Foundation Trust; University College London; Whittington Hospital.

For further information on the NCL Sustainability and Transformation Plan, please contact the NCL STP team on or

Further information

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