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South West Clinical Senate. Principles for Reconfiguration: Advice for STPs (Oct 2017)

As Sustainability and Transformation Partnerships (STPs) continue to develop across the South West, the
Clinical Senate is increasingly being asked to provide both early independent clinical advice and formal
independent clinical review of plans for large scale change and service transformation to inform the NHS
England assurance process.
Evidence shows that true change can take up to 30 years to be fully delivered. The current pace of
change, pressure on the healthcare system and reduced funds available mean that any transformation
proposals need to be more robust than ever to identify the best clinical models and plan for effective
implementation.