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What is This About?

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Why change is needed

We know we face many challenges and opportunities that will affect our ability to deliver quality services in the future. These include an increasing older population with multiple long-term conditions and care needs, and the impact of a decreasing workforce and vacancies in some key services. We are not alone with these challenges – many areas across the country face the same issues.

Our partners, doctors and nurses agree that people will experience poorer health outcomes unless we take action. We need to plan services for the future to improve quality, using the available budget and resource as efficiently as possible.

Challenges and opportunities

The local challenges affect all our health and social care services – from GP practices and care homes to hospital-based care. Our services are generally safe and well led, but we face changing and increasing demands on our services. We need to look at a different way to run our services so our care remains high quality and safe.

We also know there are a number of opportunities we can explore to improve services for local people. You can read more about this on our Challenges and Opportunities page, as well as in our Transforming services  main document. The summary of this document can be found here. 

The areas we need to talk about

We need to take action now to make sure that health and care services we receive today, are able to meet future needs. We are working as a partnership to look at service transformation as a whole and not as separate parts. This is because we know that working together means a better, more joined up and efficient service.

We want to know your views about:

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Urgent and emergency care


Maternity services

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Integrated community services


Planned care

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Community hospitals in South Staffordshire

mental health

Mental health services


Next steps

This conversation is the start of our formal involvement process, to help us deliver change across health and social care. This will help us to have a county-wide conversation and develop future options. As this work is very complex, our timeline is ambitious and could change. ​

We will work with professionals from the health, community and council organisations to ensure any future proposals are realistic. This includes making sure they are affordable, in line with national ambitions and clinically sustainable. Your feedback will help us develop options and design services fit for the future. 


Who will make any future decisions?

The six clinical commissioning groups (CCGs) who are responsible for buying and monitoring local health services will be responsible for deciding on any future health service changes. Similarly, the local authorities will make any final decisions about any services that they commission, for example care homes or social care services. When thinking about making large changes to services, CCGs have a legal duty to involve local people in the decision making.



Dr Shammy Noor, Joint Clinical Lead for our Enhanced Primary and Community Care programme talks about why community care services are part of the 12-week public conversation.


Dr Waheed Abbasi, Joint Clinical Lead for our Mental Health programme talks about why mental health is a key part of the 12-week public conversation.


Dr Steve Fawcett, Joint Clinical Lead for our Urgent and Emergency Care programme explains what urgent care means, and why we want to hear the unique views of many different patients, carers and clinicians at our listening events.


Dr Steve Fawcett, Joint Clinical Lead for our Urgent and Emergency Care programme explains the improvements underway in the delivery of maternity services and why it's important that patients and the public get involved in the 12-week listening exercise.

Read more

Health and Care in Staffordshire and Stoke-on-Trent [Main Document]

Health and Care in Staffordshire and Stoke-on-Trent [Summary]