A BMA investigation into the cost of funding Sustainability and Transformation Plans (STPs) paints a very worrying picture with at least £9.5bn needed in capital funding across the country to successfully deliver the plans. Durham, Darlington and Tees, Hambleton, Richmondshire and Whitby told NHS England they would require an alarming £115m in capital funding in order to deliver these so called ‘transformation’ plans.

This is on top of millions needed for a backlog of other repair work.

With NHS budgets severely strained, funding from capital budgets is often used to prop up day-to-day running costs in the NHS. The reality of what is needed to implement “transformation” plans is unachievable if the government does not provide the long-term investment desperately needed.

The NHS and social system is at breaking point and the STP process could have offered a chance to deal with some of the problems facing that the NHS. But from its inception, this process was carried out largely behind closed doors, without proper consultation and input from those on the front line.

The plans are fast becoming completely unworkable and have instead revealed a health service that is unsustainable without urgent further investment, and with little capacity to ‘transform’ in any meaningful way other than by reducing the provision of services on a drastic scale.

Dr George Rae, BMA North East regional council chair