System Transformation

Our clinically-led work programmes have been focussed on developing new models of health and care to achieve our vision – 'working with you to make Staffordshire and Stoke-on-Trent the healthiest places to live and work'.

In Spring 2019 we plan to begin public involvement – this is the start of a thorough process to develop proposals jointly with local communities, health and care staff and local groups that will form the basis of any formal consultation. This will be a discussion with local communities and our stakeholders based around four key areas:

  1. Simplifying urgent and emergency care
  2. Developing a new vision for health and care in Staffordshire and Stoke-on-Trent
  3. Reviewing Community Hospitals in South Staffordshire
  4. Identifying additional priorities that will deliver clinical and financial stability.

Not all of the work of our programmes will require public involvement or formal consultation – only those areas that require significant transformation of our health and care system.

We expect this to take several years to complete as we follow the best practice of consultation, follow national assurance processes and comply with legislation.

Our proposed timeline of involvement


Developing a Pre-Consultation Business Case

Partners have a duty to clearly set out their case for change in a detailed document called a Pre-Consultation Business Case. This document takes several months to develop and outlines the clinical evidence, data analysis, financial considerations and feedback from stakeholders. This is the first step in the road to transform services and ultimately will outline any options for change.

Pre-consultation involvement

Before we can develop any options, we will carry out a clinically-led 12 week pre-consultation involvement exercise on the health and social care challenges and opportunities identified.

We expect this exercise to take place in Spring 2019 and the feedback we receive will help in the development of our Pre-Consultation Business Case. It is important to recognise this pre-consultation activity is not a consultation, as no options or proposals have been developed.

Clinical Senate review

Further workshops are due to be held in Autumn 2019 prior to the Pre-Consultation Business Case being completed and sent to the Clinical Senate for independent assurance.

NHS England Assurance Process review

Once this stage is complete, we would then submit the Pre-Consultation Business Case to NHS England where it will undergo a rigorous Assurance Process review.

Public consultation

The outcome of these stages will determine whether formal public consultation is required. Should this be necessary, a comprehensive public consultation exercise would be held enabling local communities to have their say on local health and care services.

A public report will be produced following the conclusion of any consultation and the decision-making authorities will then determine what changes are to be made and will develop detailed implementation plans.