Success Regime and the Sustainability and Transformation Plan

The Sustainability and Transformation Plan (STP) is a comprehensive five-year plan to transform health and care services for local people so they are fit for the future.

These plans (44 in total) are being produced all across England to address how local services will evolve and become sustainable over the next five years and beyond. These are the plans that will deliver NHS England’s Five Year Forward View – a vision of better health, better care and improved NHS efficiency. As such, Devon’s STP is the local implementation of a national strategy and it supports the core NHS priorities which are: cancer, mental health, dementia, diabetes, learning disabilities and maternity.

The Wider Devon STP (which covers the local authority areas of Torbay and Plymouth as well as the rest of Devon) is being developed by the many health and social care partners in Devon, and is our opportunity to look at all of our local services and determine how we should organise them in future to provide the safety and quality that our communities deserve, with the funding we have available.

A key theme throughout the STP is an increased focus on preventing ill health and promoting peoples’ independence through the provision of more joined-up services in or closer to peoples’ homes.

Seven priority areas have been identified as key programmes of work:

  • Ill health prevention and early intervention
  • Integrated care model
  • Primary care
  • Mental health and learning disabilities
  • Acute hospital and specialist services
  • Increasing service productivity
  • Children and young people

The NHS is one of this country’s proudest achievements and to secure its future, it has to respond to the challenges of rising demand.

For more information about how to get involved in the different STP workstreams please visit:

Case for Change

Following a thorough analysis of all of the clinical and financial information across Devon, we published a ‘Case for Change’ in February 2016. This identified that if no action is taken, Devon’s health and social care system will be in £440million of debt by 2020.

There are some excellent NHS services across the county and we know how highly people value them.  However, we also know that people’s health varies greatly from one part of the county to another, as does their ability to access some services.

Many people spend too long in hospital and could fare better with more support in the community.

The publication of the Case for Change is the start of our engagement with people about what needs to change and why.

It is important for people to understand the pressures on the NHS and to help us to plan how to maintain and improve services whilst meeting our financial obligations.

Find the Case for Change document and summary paper published on 11 February 2016 below.

Case for Change final draft (pdf)

Case for Change summary document (pdf)


Last updated: July 24, 2020