We have produced a manifesto to support the development of 23 localities across Staffordshire and Stoke-on-Trent.

Background
Our Strategy Unit has been commissioned by Staffordshire and Stoke-on-Trent STP to support the development of 23 localities (serving populations of 30-50,000) across the STP area.

Action
Work completed to date has been a diagnostic review of the 23 localities, followed by support for the system to implement these subsequent recommendations for development:

1. Foundations – to co-design the foundations of the place-based system
2. Framework – to develop a permissive framework for locality operation
3. Support – to facilitate and support localities to work
4. Programme – to commit to an on-going development programme.

We facilitated a workshop with the STP’s clinical and managerial leadership to:

• develop a consensus on the role and critical mechanisms for place-based care
• reach a collective understanding of what that means for ways of working
• document the outcomes as a manifesto for place-based care in Staffordshire and Stoke-on-Trent that can be used as a public statement as well as a guide for more detailed design work and organisational development.

Impact
We wrote the resulting manifesto based on results from surveys leading up to the workshop, discussions and observations from the workshop and comments received from stakeholders on an initial draft circulated following the day. The manifesto and resulting actions were approved by the Board in January 2019.