Sustainability and Transformation Plan

Norfolk and Waveney Sustainability and Transformation Plan

Our NHS and social care services are dearly valued. But rising demand, a growing and ageing population, higher expectations and lifestyle changes are increasing the pressures they face.

In response, the NHS, Norfolk County Council and partners in health and social care have come together across Norfolk and Waveney (North Suffolk) to find a better way forward.

We are developing an important programme to transform health and social care over the next five years called the Norfolk and Waveney Sustainability and Transformation Plan (STP).

For more information and to see the latest documents, go to: Healthwatch Norfolk

Doing nothing is not an option

We must continue to deliver good quality care to the people who need it. But just in terms of money, the health and social care organisations in Norfolk and Waveney know there will be a gap between our finances and the costs we will actually face. We must make efficiency savings to meet growing demand within the budgets we have.

Our plan will set out how we want to transform health and social care together over the next five years. NHS and social care are always evolving and our STP will be part of that story.

About Sustainability and Transformation Plans

There will be 44 STPs across England; all are still being developed. Ours is led by the Chief Executive of Norfolk County Council, Wendy Thomson. Leaders from our local NHS and social care are all playing an active part. We shall submit our first draft by the end of June, so we will shortly be asking the people of Norfolk and Waveney for their views. But this is just the first step, we want to maintain an ongoing conversation about how services need to look in the future and how to keep them sustainable.

You can find out more in these documents and links below:

NHS Five Year Forward View –

Delivering the Five Year Forward View planning guidance –

NHS England background information on STPs –

Who We Are

We are the senior leaders (CEO’s and Directors) of a range of health and care organisations across Norfolk and Waveney who have been meeting as a “System Leadership Group” for eight months. The organisations we represent are as follows:-

East Coast Community Healthcare Norfolk Community Health & Care
East of England Ambulance Service Norfolk Independent Care
Great Yarmouth and Waveney CCG Norfolk Public Health
James Paget University Hospitals NHS Trust North Norfolk CCG
Norfolk County Council Norwich CCG
Norfolk and Norwich University Hospital Queen Elizabeth Hospital
Norfolk and Waveney Local Medical Committee South Norfolk CCG
Norfolk and Suffolk Foundation Trust West Norfolk CCG



The demographic and geography of Norfolk and Waveney combined with the significant reductions in public funding has rendered the current structure and approach of health and social care unsustainable.

We recognise that unless we as health and social care organisations innovate and successfully implement change together we will not be able to continue to offer customer orientated, safe and sustainable quality services.

There is agreement that much stronger community focused and based services are necessary. We have spent time together tackling this and some progress has been made in implementing integrated approaches to service delivery. There are however a number of systemic blocks to making significant progress in real whole system change and as a consequence the ‘system’ remains fragmented.

Our agreed aims are to change the way we work together to develop a culture of collaboration to achieve integrated compassionate care across the system, to tackle the distress and challenges in the system by developing both sustainable models of care and sustainable financial models across organisational boundaries. We aspire to become a system that has the right approach, commitment and ways of collaborative working such that we earn the right to function and thrive without central control and intervention.


Scope of our Leadership Development Work

We understand the ability to change, to constantly adapt and evolve entails major cultural transformation and embracing the notion of cultural change is key to change and innovation in health and care services and systems.

We know that unlocking the benefits of health and care innovations will require radical changes in our system including increased active involvement not just of staff but also of people receiving treatment and care in both managing their own care and the co-production of services.

We recognise that to do so we need to move from competing relationships to a foundation of perceived and agreed mutual benefits, based upon relationships to achieve common goals, build on shared concerns and reach agreement to pool power and resources to resolve our complex issues, most of which defy solution.

We acknowledge there are no simple solutions hence we need leadership of the highest calibre in order to successfully respond to the unprecedented pressures we are experiencing. We need to lead consciously and carefully to reinforce the values of collaborative and collective leadership.

Our intent is to focus and prioritise effectiveness across the system as a whole rather than focusing only on our individual or own organisation’s success.

For more information and to see the latest documents, go to: Healthwatch Norfolk