Social care and health

North Central London Sustainability and Transformation Plan (NCL STP)

North London partners is now online at Here you'll find information, news and views about how we are working together to deliver better health and care in North London. You can also follow us on twitter @nclstp.

The Plan and its development

The draft North Central London Sustainability and Transformation Plan was originally submitted in October 2016. In February 2017 we published a refreshed version to reflect the work that had taken place since the original submission. An updated version was published in June and reflected further work on the implementation priorities and an update of the financial analysis underpinning the plan.

The updated plan includes a change in name to North London Partners in Health & Care to reflect the partnership of health and care organisations working together to deliver our plan and the community they serve. Our commitment to the people of North London is that we will work together along with the voluntary sector, and our residents, to improve the health and wellbeing of the community. 

A revised public summary of the plan, written in plain English, can be found at the bottom of this page. It is also available on partner organisation websites. This ‘reader friendly’ document is intended to help inform our community, encourage and support public engagement, and invite feedback. 

Case for Change

Our plan is based on the Case for Change, developed by the North London Health and Care Cabinet. This cabinet represents the best clinical expertise from a range of health and care professionals. North London partners in health & care is a work in progress and we are keen to give local people, patients, and staff the opportunity to have their say and participate as we begin to implement our proposals.

We welcome comments on the draft STP. Please send comments to or

To find out more please email

September 2017 update – Council Leaders call for no reduction in health services through STP process

The leaders of five north London boroughs, including Cllr Richard Watts (Leader of Islington Council), have expressed serious concerns about the NHS’ Sustainability and Transformation Partnerships (STP) process becoming a “short-term cost cutting exercise”. 

In a letter to Simon Stevens, Chief Executive of NHS England, the leaders of Islington, Camden, Haringey, Enfield and Barnet councils say the mechanisms of NHS funding (including the STP process) are twisting the priorities of healthcare partners, forcing them to focus only on short-term cost-cutting exercises to balance increasingly precarious budgets. The council leaders warn that longer-term aims to transform healthcare in the region are under threat as a result.

The leaders’ letter calls for six commitments from the NHS –

  • No reduction in health services, or service standards (including no detrimental changes in access to services) in North Central London as a result of pressures on CCG, the current exercise or the STP;
  • Additional funding if required to guarantee the above, including resolving the funding/ accounting issues we have mentioned in this letter;
  • Full and proper consultation with residents and patients on any proposals for health service changes, meaning that they will be involved in re-designing services;
  • Return the focus of NHS leaders in North London to long-term transformational change over the STP period, working across the health and care system with Councils as equal partners;
  • Returning to your ambition for local flexibility in determining our health and care system, reducing the central control exercised over the system;
  • Encourage NHS leaders to invest in long-term prevention activity, which by 2020/21 will reduce the demand for expensive health and care

Read the letter in full

October 2016 joint statement by leaders of Haringey and Islington councils

Joint statement from Councillor Claire Kober, Leader of Haringey Council and Chair of Haringey Health and Wellbeing Board and Councillor Richard Watts, Leader of Islington Council and Chair of Islington Health and Wellbeing Board.

"The NHS in the north central London area – which represents Camden, Haringey, Islington, Barnet and Enfield – has submitted a draft Sustainability and Transformation Plan (STP) to NHS England.

"The draft plan is a requirement of the NHS Five Year Forward View, and sets out emerging thinking about ways NHS and social care services could be delivered in the future to make them more effective and efficient.

"Borough councils see first-hand the impact of the profound health inequalities that exist in the north central London area.

"At this stage, there has not yet been political oversight or public or patient engagement with the draft plan, and it is now time to gather more opinion on the proposals being put forward.

"We want to use out roles to influence the plan to improve services for the health and wellbeing of our residents. We are also keen to continue to work with the NHS to strengthen the focus on adult social care in the draft plan as it develops.

"We therefore want to gather views on the draft plan before it is considered at our joint meetings of the Haringey and Islington Health and Wellbeing Boards. The joint meeting of the Boards brings together the local authorities, GPs, local NHS trusts, Healthwatch and voluntary sector partners in both boroughs in support of our ambitious Wellbeing Partnership, focussed on improving health and social care outcomes and reducing health inequalities for local people."

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