Health and social care organisations across Buckinghamshire, Oxfordshire and Berkshire West (BOB) have developed an ambitious draft plan to improve the health and wellbeing of the 1.8m people living in the area.

The draft sustainability and transformation plan (STP) is one of 44 such plans being developed across the country in response to NHS England’s Five Year Forward View (5YFV), which sets out a vision for a better NHS.

The sustainability and transformation plan (STP) describes an approach to how the vision of the 5YFV could be delivered locally by 2021.

It sets out proposals to:

  • improve health inequalities
  • ensure safe and sustainable local health and care services
  • fill a funding gap that could be as large as £479m by 2020

The Buckinghamshire, Oxfordshire and Berkshire West STP bring together the following partners:

  • Seven Clinical Commissioning Groups (CCGs) - Oxfordshire CCG, Aylesbury Vale CCG, Chiltern CCG, South Reading CCG, North and West Reading CCG, Wokingham CCG and Newbury & District CCG
  • Six NHS providers - Oxford University Hospitals NHS Foundation Trust, Buckinghamshire Healthcare NHS Trust, Oxford Health NHS Foundation Trust, Royal Berkshire NHS Foundation Trust, Berkshire Healthcare NHS Foundation Trust and South Central Ambulance Service NHS Foundation Trust
  • 14 Local Authorities - Oxford City Council, Oxfordshire County Council, West Oxfordshire District Council, Cherwell District Council, Vale of White Horse District Council, South Oxfordshire District Council, Buckinghamshire County Council, South Bucks District Council, Aylesbury Vale District Council, Chiltern District Council, Wycombe District Council, Reading Borough Council, Wokingham Borough Council and West Berkshire Council


  • 175 GP practices

For the NHS to meet the needs of future patients in a sustainable way, we need to close the gaps in health, finance and quality of care between where we are now and where we need to be in 2020/21.

Therefore, we must make changes to how local people live, access care, and how this care is delivered. This doesn’t mean doing less for patients or reducing the quality of care provided. It means doing more to prevent ill health; finding new ways to meet people’s care needs; and identifying ways to do things more efficiently.

The proposals for the STP build on plans already developed locally where it makes sense to work with key partners to deliver better results on the wider issues that affect us all.


Our draft proposals set out how we can:

  • meet the demand for a population that is growing, particularly for over 75’s
  • join services together we can provide more care closer to people and where they live
  • direct people to the right treatment if they need urgent care
  • improve and enhance hospital and community services for services such as cancer and mental health
  • optimise technology across the health and social care system in ways that join up care, connect organisations and empower patients
  • accelerate the work we do to prevent ill health and improve well-being
  • close the gap in local finances

We have a number of priority areas where we know that by working together we can make a greater difference a greater number of patients over a wider geographic area.

These include:

  • organising urgent and emergency care so that people are directed to the right services for treatment
  • improving hospital services, for example making sure that maternity services can cope with the expected rise in births
  • enhancing the range of specialised services, such as cancer, and supporting Oxford University Hospitals NHS Foundation Trust as a centre of excellence to provide more expert services in the region
  • developing mental health services, including low and medium secure services, more specialised services for children and teenagers, and improving care for military veterans and services for mums and babies

The plans in our STP to develop self-care, prevention and local services are based on national evidence of good practice and innovation in other parts of the country. We are looking to:


  • improve the wellbeing of local people and place greater emphasis on preventing ill health
  • integrate health and care services together in neighbourhoods to treat and care for patients
  • working with GPs to deliver and develop new ways of providing services in local areas
  • keep money spent on management and administration to a minimum


From this we have been able to calculate how new ways of care and early treatment could affect the way we use hospital services.

Over the next five years we believe that people will be able to see practical and important improvements as a result of this plan. We will have a more efficient system and more health and social services will be working together, providing services closer to home.

There will be better access to mental health services and the introduction of digital solutions (such as virtual consultations), and self-management tools, making it easier for people to access advice and care 24/7.

We will focus much more on prevention; offering bespoke packages to help people adopt healthier lifestyles and reduce preventable ill health and long-term conditions.

Our staff are invaluable but we need to address some of the longstanding issues in recruiting and retraining staff. As part of a shared workforce plan we are looking to make improvements to training, terms and conditions and by taking a shared approach to recruiting staff from overseas.

Another suggestion has been to introduce a ‘bank’ of staff who are available to work across the whole money to save on expensive agency fees. We believe that we can save money and create more posts if we work collectively across our patch.

To keep up with the progress of our plans please check this website regularly.


If you have any questions or comments, please get in touch with us using the below email addresses:


Oxfordshire queries:


Berkshire West queries:


Buckinghamshire queries: