Letting Local Systems Lead: How the NHS Long Term Plan can deliver a Sustainable NHS

16 / 11 / 2018

In Letting Local Systems Lead, we are calling for action to remove the barriers to effective local system working. 

It follows a survey of NHS Confederation members which found that:

  • Six in ten leaders (61%) agree that sustainability and transformation partnerships (STPs) and integrated care systems (ICSs) represent the right approach for partnership working between the NHS and local government.
  • But the vast majority of respondents considered that only moderate progress (44%) or a little progress (42%) had been made in implementing the system working approach set out in the NHS Five Year Forward View
  • When asked what would make a difference, local leaders identified better local partnership working, improved engagement with staff, patients and communities, more effective local governance and a more supportive oversight regime


Based on the findings, and our own analysis of the challenges facing the service, the NHS Confederation is calling for the long-term plan to: 


  1. Make support for effective local leadership and relationships a priority
  2. Focus attention on the key factors that will allow local improvements to health and social care services
  3. Shift the focus of regulation from performance management to improvement support
  4. Support local systems to strengthen ownership in their communities of the long-term plan vision

Why Register?

Great reasons to register with NHS Confederation

  • Access exclusive resources 
    Access member-only resources and tailor member benefits and services
  • Personalise your website
    Select topics of interest for recommended content
  • Comment and recommend
    Rate and share content with colleagues
  • Never miss a thing
    Register now to keep your finger on the pulse of the NHS Confederation

Log In