Commitment and ownership of plans
The STP has no statutory or legal power so it can only operate by agreement of the statutory bodies within its footprint. Unless boards and governing bodies have visibility and understanding of the objectives and are signed up to delivery plans change will not happen.
Those charged with leading elements of the plan must feel a sense of accountability to others. This needs to be underpinned with clear reporting and information structures.
For real change to happen all organisations should have a role in driving it. The STP programme convenes and coordinates but implementation should be shared across a number of organisations.
Recognising the sense of urgency
Due to the unprecedented financial pressure on the NHS pace is required. Where this does not happen, regulators are more likely to intervene.