The leader of the Cambridgeshire and Peterborough sustainability and transformation plan is to step down in the coming weeks, with national regulators understood to be giving additional management oversight and support.

In March, Neil Modha was named leader of the STP for the area, which HSJ has identified as the most financially challenged patch in England.

Neil Modha

Neil Modha

Neil Modha will step down as leader of the STP

Dr Modha had already announced his intention to resign as chief clinical officer at Cambridgeshire and Peterborough Clinical Commissioning Group. The CCG confirmed he will also step down as STP leader when he leaves the group, with a new leader to be appointed.

It is not yet clear whether this will be Tracy Dowling, the CCG’s chief operating officer, who is set to become accountable officer subject to formal ratification.

HSJ understands NHS Improvement is also heavily involved in the STP arrangements, partly as a continuation of the “challenged health economies” programme.

A senior source familiar with the arrangements said: “It’s partly the NHS Improvement team and partly local leaders leading the process, but NHS Improvement is certainly giving additional support.

“There is not much leadership coming from the CCG at the moment because of all the changes going on following the UnitingCare contract collapse, so NHS Improvement has stepped into the breach.”

Similar arrangements are thought to be in place in other challenged areas.

Each STP area must develop a system-wide sustainability and transformation plan by June, setting out initiatives to manage demand, increase provider efficiency, reconfigure services and return to financial balance.

A spokeswoman for NHS Improvement said: “NHS Improvement is working alongside the Cambridgeshire and Peterborough CCG and the wider health and care system to help and support the development of the STP plan.

“The CCG has established a system-wide team and we are working closely with them.”