The British Medical Association warns that modernising and securing the future of the National Health Service (NHS) England would cost at least £9.5bn of capital funding.
The BMA says that NHS leaders are unlikely to have anything like the capital required to deliver the 44 Sustainability and Transformation Plans (STPs), with budgets already under severe pressure.
The Health managers in 44 areas have been requested to draw up Sustainability and Transformation Plans setting out how they will decrease costs, improve care in their region and change services. However, such an overhaul would need significant capital investment, according to the BMA.
BMA sent Freedom of Information (FOI) requests to all the 44 areas asking for their estimates to implement the STPs, among which 37 replied, with the figures quoted in responses totalling £9.53bn.
BMA has found that more than half of the STP footprint areas have told NHS that they would need more than £100 million of upfront funding to make changes. Cambridgeshire and Peterborough, Greater Manchester, Cheshire and Merseyside, West Yorkshire, North Central London and North East London have quoted capital needs of £500m or more.
The chairman of the BMA council, Dr Mark Porter said the NHS England is at breaking point and the STP process could have offered a chance to deal with some of the problems that the NHS is currently facing, like expensive fragmentation and buildings and equipment often unfit for purpose, unnecessary competition.
A spokesperson for NHS England rejected the BMA’s findings and said that the clinicians, local health and care leaders are coming together to try and solve some deep-seated problems by identifying practical ways to improve services.
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