The West Midlands has an agreed devolution deal covering Greater Birmingham, the Black Country and Coventry but the devolution agreement does not include health and social care functions.
Sustainability and transformation plans (STPs)
The West Midlands has six STPs covering the recognised sub-regional areas of:
- Birmingham and Solihull
- Black Country
- Coventry and Warwickshire
- Herefordshire and Worcestershire
- Shropshire and Telford & Wrekin
The plans cover the period 2016 to 2021 and set out how each area is intending to reform health and social care services to meet future demands and overcome a funding shortfall of £22bn across the NHS in England over the corresponding period. The RCN is concerned that without extra funding to ensure there is sufficient provision to realise 'the right care in the right place at the right time' aspiration of the plans, there is a risk they will not deliver their intended outcomes for patients and service users.
Multispecialty community providers - moving specialist care out of hospitals into the community
Urgent and emergency care - new approaches to improve the coordination of services and reduce pressure on A&E departments
Acute care collaboration