All local health and care leaders need to be having a conversation with their local populations about
the hard choices that need to be made ' about the right balance of investment and about which
services to provide and invest in. The sustainability and transformation planning process, based on the NHS Five Year Forward View, is one important
opportunity to do so.
These new care models may release efficiency savings in the medium term, but will take time to develop and embed. Sustained support will be needed for new models to become established and
improve, and investment will be needed to support leadership and enable the desired transformation.
All parts of local health and care systems '
commissioners, providers, regulators and local people ' need to work together to help transform local areas. Working with our partners, CQC will offer the system whatever support we can to make the changes necessary to ensure high-quality care into