Future State - The Oracle Consulting Blog

Sustainability and Transformation Plans – Embrace the Change

Louise Tegner
Communications & Marketing Manager

Author Shaun Davies, Senior Strategic Consulting Sales


For years trusts have been under significant pressures, with reduced operating budgets and increasing patient numbers. According to recent reports, The NHS has a shortfall of £2.3 billion this year and is on course to record the largest-ever deficit. Hospitals are the worst affected with 132 out of the 138 trusts in England now in the red.


NHS Shared Planning Guidance asked every local health and care system in England to come together to create their own ambitious local plan for accelerating the implementation of the Five Year Forward View.

These blueprints, called Sustainability and Transformation Plans (STPs), will be place-based, multi-year plans built around the needs of local populations. Clearly this step change will inevitably result in even greater pressures on trust resources to align and agree the process for change. Agreement will need to be reached on how, when and where the trusts can leverage each other to achieve the objectives laid out.

Many trusts have already implemented initiative such as moving to shared services, paperless medical records system, PACS systems in radiology, technology at the bedside and many procurement schemes but these initiatives can only do so much. Moving forward trusts will need to embrace the wider STP organisational change.

This blog articulates how Oracle can assist trusts and their STPs in addressing these challenges cost effectively and with less risk, while providing you with opportunities to grow potential new revenue streams. 

Adoption Services – A Key Element in Delivering Transformation Background

Over the years organisations globally have utilised technology to attempt to deliver change and competitive advantage. Few have achieved either the desired savings or transformation!

However within the last 5 years technology deployments have transformed from programs that took years and cost millions to Cloud Service enablement that take 2-3 months to begin to deliver value and savings. Key to this change is Cloud Adoption; the early engagement of business stakeholders, standardised business processes utilizing modern best practice to deliver user uptake, enabling business transformation to be delivered across organisational structures, quickly reducing risk and delivering value in a fraction of the time with a consistent, sustainable delivery of transformation: 

Oracle Finance Transformation

Increasing pressure on finances means that trusts are subject to additional rules imposed by NHS Improvement for procurement savings targets, caps on agency expenditure and constant analysis of costs.  This additional analysis means trusts spend increasing amounts of time trying to get the data they need.

The advantages of utilising a common platform for finance across trust and CCG communities that enables opportunities for STPs to leverage best in class processes, practices and policies for finance management, forecasting, planning and reporting to be adopted across the community whilst maintaining ownership is a distinct advantage for STPs when compared to transitioning to a Shared Service provider.

For University Hospitals of Morecambe Bay NHS Foundation Trust “going to a shared service provider would have meant a loss of control of transactional services which become even more important when cash is tight and has to be managed on a daily basis”.

They began a project with an ‘embrace the change’ approach. Their intention was to ensure that they can harness the superior capabilities and flexibility of their new system, rather than simply doing what they have always done before with the same unsatisfactory results.

The trust is looking to become future-proof and lay down a transformational foundation layer to align to the new requirements. With a good finance system in place, they will be able to accommodate future organisational changes including the opportunity to process all the transactions for the other bodies in their Accountable Care System and they have designed the code structure to allow for this.

They chose Oracle Cloud because it was cost effective compared to the other options considered and allows them to use more up to date technology, streamline operational processes, have real time data and better history and tracking behind transactions.

The Cloud enablement approach also mitigates the level of start up costs associated with traditional finance implementations as well as the spectre of the inevitable upgrade project 3-5 years down the line. More importantly Cloud enables business innovation that traditional implementations can never achieve, giving you choice and control around the deployment of new functionality.

Oracle Unique Differentiation

Our adoption led approach offers the ability to deliver transformation, where control is with the STP members, within a light touch enablement program. This allows your key staff, both administrative and clinical, to concentrate on their real job while Oracle does the heavy lifting.

The approach provides quick and quantifiable wins that align with the savings targets through each stage of the enablement, all delivered within a Cloud Subscription model which means greatly reduced start up and run costs, faster delivery of transformation that is controlled by you, not a System Integrator or a Shared Service provider!

Risk Mitigation

Oracle have enabled more Cloud Services transformations than the entire system integrator and partner community combined making Oracle the low-risk option in achieving transformation and savings.

We enable you to deliver your business objectives. We are simply there to help you deliver on time, within budget and with minimal risk to the business of saving lives and caring for the sick and vulnerable.

Our Commitment

When your patients visit you they know they are in the safest hand possible. We believe that by engaging Oracle you too could not be in safer hands.    

For further information contact your Oracle Consulting Representative or visit Oracle Consulting here.








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