• STPs given published ratings for the first time
  • Five labelled outstanding and five “need most improvement”

Sustainability and transformation partnerships have been publicly rated for the first time, with five labelled outstanding and five placed in the lowest category of “needs most improvement”.

Twenty are rated “advanced” and the remainder as “making progress”.

In the first NHS England ratings of health economies rather than organisations, the greatest weight is given to whole system financial health, indicators of prevention and integration, and a judgement on “system-wide leadership”.

Twelve other metrics also contribute to the overall rating.

Mapped: All 44 STP ratings

  • Red: Needs most improvement
  • Orange: Making progress
  • Yellow: Advanced
  • Green: Outstanding

Click on an STP area to see full information.

NHS England has stressed the ratings and metrics published today are a “baseline” and largely cannot be attributed to current STP leadership, as they have generally had less than a year working on the plans in earnest.

This is part of the reason the terms used are much softer than “inadequate” and “requires improvement” as used for rating providers and clinical commissioning groups.

The ratings were due to be presented to NHS England’s board meeting this morning.

Potential surprises include the Durham, Darlington and Tees STP, which has been low profile and is not an “accountable care system” but is rated outstanding; and Milton Keynes, Bedfordshire and Luton, which is rated outstanding despite a difficult financial position, no clear plan for its three acute provider trusts, and its STP lead taking up a full-time national role.

At the other end, Devon is rated as “making progress” despite having spent two years in the success regime: it has a large deficit and STP leader Angela Pedder is leaving. The Black Country has the same rating even though it has several well known new care model and integration projects. There are quite high rates of emergency care use in the patch.

Some STPs rated poorly have already seen significant leadership change. At Bristol an independent chair and a single chief officer across the CCGs have been appointed. Staffordshire has failed to appoint an independent chair and there have been two changes of STP lead. A potential change is expected in Humber, Coast and Vale, where the lead was initially appointed as an interim.

More than one in three STP leaders have changed since the first appointments were made, for a variety of reasons including several retirements and job changes.

STP leads have changed at a number of partnerships rated as “making progress”: Lincolnshire, North Central London, Hertfordshire and West Essex, Somerset, South West London, and Cornwall and the Isles of Scilly.

Revealed: First ratings of all 44 STPs