The NHS in east London faces huge challenges. An extra 270,000 residents will move into the area in the next 15 years – equivalent to an additional London borough; local organisations will be in deficit by £400 million in five years if action is not taken now; there are shortages of staff in many areas; and there are too many examples of poor patient care, estates and infrastructure.  The TST programme is a clinically-led change programme impacting the whole of the health system across east London and aims to address these significant, system-wide challenges.

East London’s population is forecast to grow by 270,000 in the next 15 years

We have been selected as the lead consultancy team, working with a number of private sector partners to deliver this system reform programme. We were asked to support the newly formed Barts Health NHS Trust and its partners from the surrounding health economy to develop a plan that would deliver safe and sustainable services for the growing population in east London.

  • In 2014, our team worked with clinicians across the system to develop a Case for Change that highlights the need to improve east London’s acute services. We then engaged with staff, patients and clinical leaders throughout east London about this
  • In 2016, we supported CCGs and providers to agree a Strategy and Investment Case to take forward 13 transformational change programmes in response to the case for change across primary, community and secondary care
  • We fielded a multidisciplinary team of project management, clinical redesign, organisational development, workforce, communications, analytics and finance specialists
  • Notable changes include the development of surgical hubs, primary care hubs to provide primary care at scale, ambulatory care centres at every site and a case for change on hospital services
  • We led a formal engagement period and implementation planning with staff across organisations so that the system can take forward the changes as part of East London Health and Care Partnership.
  • We are now providing support to design the change programme, balancing long-term transformation with short-term benefits

Building on the publication of the case for change, a full strategy and investment case has now been developed, and this is being consulted on locally.

The ambulatory care centres have already demonstrably helped sites cope better this winter.