HSJ’s round-up of Tuesday’s must read stories

Frimley’s big plan

One of the top performing trusts in the country has said it plans to run a new model of vertically integrated care across an entire sustainability and transformation plan footprint.

Frimley Health is currently developing a primary and acute care system as part of the north east Hampshire and Farnham vanguard. It has now been revealed that the trust, which is unique in having an STP drawn around its catchment area, is planning to replicate the model across its footprint.

Although we already knew the STPs were the replication mechanism for new care models, it is the first example we have seen of an STP proposal that explicitly seeks to repeat a vanguard project across its entire geography.

Under the proposals, the population covered by the PACS would more than triple from 220,000 to 750,000. Frimley runs two general hospitals, serving parts of Berkshire, Hampshire and Surrey.

Sir Andrew Morris, Frimley Health chief executive and the STP chair, said the vanguard work “had arguably been on too small a scale”.

Frimley’s plans are yet to be approved by NHS England or NHS Improvement, but they are in line with national policy – a framework document on PACS is expected at the end of this month, and is likely to say that some PACS could expand to cover an entire STP area.

Ambitious aim for Hinchingbrooke

Hinchingbrooke Health Care Trust has chosen a preferred private sector partner for an ambitious project to develop a “health campus”, build nearly 400 houses and deliver £5m of recurrent income, HSJ has learned.

The trust is developing the £150m plan for a strategic estates partnership with healthcare estates specialist Ryhurst but the proposal still requires signoff from NHS Improvement and the Treasury.

The project is being closely watched by senior NHS and government figures who are hopeful the relatively new SEP model could be rolled out more widely across the NHS as a way to develop capital schemes.

A trust document, seen by HSJ, says the “health campus” will integrate primary, secondary, community and social services together with residential and nursing home accommodation.

There have been six SEPs formally established to date, the first of which was established by Lancashire Care Foundation Trust with Ryhurst in 2010, and others are in the pipeline.

Southern Health ‘not handled well’

Simon Stevens has said that events at Southern Health Foundation Trust have “undermined” public confidence.

Katrina Percy resigned as chief executive of Southern Health last month but continues to be employed by the trust in a new capacity advising GPs, and will continue to receive her chief executive salary.

Mr Stevens made the comments in an interview with HSJ comment editor Andy Cowper for his Health Policy Insight website. Mr Stevens also said the government’s planned NHS spending for 2017 to 2020 did not meet what he had “proposed”.

He said: “Sadly some of these situations have not been handled well, and at Southern Health, patients and families have been let down and public confidence undermined.

“It’s true that there has never been a more complex time to be a health service leader. But that can’t justify examples of what can come across to other far less well paid NHS staff as self-serving behaviour.”