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NHS Health Check: Which local services are under threat? | NHS Health Check: Which local services are under threat? |
(about 3 hours later) | |
You may not know it, but over the past year local NHS leaders across England have been meeting to draw up plans to overhaul the health service. | You may not know it, but over the past year local NHS leaders across England have been meeting to draw up plans to overhaul the health service. |
The country has been split into 44 regions, with each asked to come up with a strategy to make services fit for the 21st century. | The country has been split into 44 regions, with each asked to come up with a strategy to make services fit for the 21st century. |
The initiative - catchily called sustainability and transformation plans or STPs for short - has been shrouded in secrecy after NHS England bosses encouraged local leaders to keep them quiet. | The initiative - catchily called sustainability and transformation plans or STPs for short - has been shrouded in secrecy after NHS England bosses encouraged local leaders to keep them quiet. |
But now all the outline plans have been published and the BBC has been analysing what is in each one. | But now all the outline plans have been published and the BBC has been analysing what is in each one. |
Need help finding out what region you are in? Please see the map at the foot of the page. | |
So what happens next? There will be full public consultations in areas where major changes are going to take place, such as the closure of hospital services. | So what happens next? There will be full public consultations in areas where major changes are going to take place, such as the closure of hospital services. |
Some areas are being asked to provide more details on what they have set out, so you may find in some of the summaries the BBC highlighting the fact the plans lack detail. | Some areas are being asked to provide more details on what they have set out, so you may find in some of the summaries the BBC highlighting the fact the plans lack detail. |
But NHS bosses are hoping implementation will begin later this year. The plans have been developed following the publication of NHS England's five-year plan for the health service in 2014. | But NHS bosses are hoping implementation will begin later this year. The plans have been developed following the publication of NHS England's five-year plan for the health service in 2014. |
That led to the government committing to an £8bn increase in the frontline NHS budget during this parliament. In return the NHS has to make £22bn of efficiency savings. | That led to the government committing to an £8bn increase in the frontline NHS budget during this parliament. In return the NHS has to make £22bn of efficiency savings. |
A key part of that is reorganising how services are run locally. NHS England says the aim is to make the health service more efficient and better geared to keeping people well and out of hospital, but critics say the plans are simply cuts . | A key part of that is reorganising how services are run locally. NHS England says the aim is to make the health service more efficient and better geared to keeping people well and out of hospital, but critics say the plans are simply cuts . |
Hugh Alderwick, from the King's Fund, has been looking at the plans for a report which the think-tank will be publishing later this month. He predicts they will prove controversial. | Hugh Alderwick, from the King's Fund, has been looking at the plans for a report which the think-tank will be publishing later this month. He predicts they will prove controversial. |
"All the plans talk about better integrating primary care - that includes GPs, district nursing and mental health - with the view to keeping people out of hospital. | "All the plans talk about better integrating primary care - that includes GPs, district nursing and mental health - with the view to keeping people out of hospital. |
"But, of course, that is leading to a number also making proposals about consolidating hospital services on fewer sites. The public and politicians will be very interested in those when the consultations start." | "But, of course, that is leading to a number also making proposals about consolidating hospital services on fewer sites. The public and politicians will be very interested in those when the consultations start." |
1. Northumberland, Tyne and Wear | |
2. West, North and East Cumbria | |
3. Durham, Darlington, Tees, Hambleton, Richmondshire and Whitby | |
4. Lancashire and South Cumbria | |
5. West Yorkshire | |
6. Coast, Humber and Vale | |
7. Greater Manchester | |
8. Cheshire and Merseyside | |
9. South Yorkshire and Bassetlaw | |
10. Staffordshire | |
11. Shropshire and Telford and Wrekin | |
12. Derbyshire | |
13. Lincolnshire | |
14. Nottinghamshire | |
15. Leicester, Leicestershire and Rutland | |
16. The Black Country | |
17. Birmingham and Solihull | |
18. Coventry and Warwickshire | |
19. Herefordshire and Worcestershire | |
20. Northamptonshire | |
21. Cambridgeshire and Peterborough | |
22. Norfolk and Waveney | |
23. Suffolk and North East Essex | |
24. Milton Keynes, Bedfordshire and Luton | |
25. Hertfordshire and West Essex | |
26. Mid and South Essex | |
27. North West London | |
28. North Central London | |
29. North East London | |
30. South East London | |
31. South West London | |
32. Kent and Medway | |
33. Sussex and East Surrey | |
34. Frimley Health | |
35. Surrey Heartlands | |
36. Cornwall and the Isles of Scilly | |
37. Devon | |
38. Somerset | |
39. Bristol, North Somerset and South Gloucestershire | |
40. Bath, Swindon and Wiltshire | |
41. Dorset | |
42. Hampshire and the Isle of Wight | |
43. Gloucestershire | |
44. Buckinghamshire, Oxfordshire and Berkshire West | |
NHS Health Check | |
A week of coverage by BBC News examining the state of the NHS across the UK as it comes under intense pressure during its busiest time of the year. |