The Success Regime is a national initiative that was first announced in the NHS Five Year Forward View[1] in 2015. The aim is to support those NHS areas with deep-rooted and persistent pressures, where financial deficits and service shortfalls create serious challenges for health and care in the future.

There are three NHS areas in the country that operate as a Success Regime; one for Northern, Eastern and Western Devon, one for West, North and East Cumbria and ours, covering mid and south Essex.

¹For further information about the NHS Five Year Forward View, please visit

The Mid and South Essex Success Regime started in September 2015 with a diagnostic review² of the pressures on the local health and care system. On 1 March 2016, the Mid and South Essex Success Regime published a proposed plan to tackle the top priorities for system change that would:

  • Ensure the highest quality health and care to meet the growing demands of the population of mid and south Essex
  • Tackle the gaps in clinical staffing across all health and social care
  • Enable the system to achieve sustainable financial balance

The development of the plan continues in two main parts, each with several workstreams:

  • Local Health and Care – to build up services in the community
  • In hospital – to reconfigure and redesign hospital services across three sites

NHS England and NHS Improvement oversee the Mid and South Essex Success Regime. They have agreed to fund additional management support to make changes happen and to support the system over a period of transition to 2020/21.

²For further information on the success regime diagnostic review, please visit the Diagnostic Review section

“The Success Regime brings our separate organisations together. Suddenly, we have open doors to system changes that we’ve been wanting to make for years. This is an opportunity to use the talents of our workforce to the full and provide world class care for local people.”

Dr Ronan Fenton, Dr Ronan Fenton is a joint medical director of the Mid and South Essex Success Regime and leader of the Acute Leaders Group, which is developing the options for changes in hospitals.

What is the difference between the STP and Success Regime?

You may have heard that all health and care areas across the country must publish a sustainability and transformation plan (STP). The STP explains potential changes to local services over the next five years and the steps to achieve them. It is the overall strategic plan, covering all aspects of health and care from prevention to specialist services, including some strategies that are Essex-wide, such as for mental health and learning disabilities.

For mid and south Essex, the Success Regime plan is the major part of the STP. It concentrates on the top priority and critical changes.

Diagnostic Review

Essex was selected as a Success Regime area because of increasing financial deficits and repeated shortfalls against some of the national service targets.

A diagnostic review in December 2015 identified the main priorities for system-wide improvement

Learn more about the Diagnostic Review 

Who's Involved?

The Success Regime involves all the major health and care partners in mid and south Essex.

Working groups are led by clinicians and overseen by a programme board with an independent clinical chair.

Learn more about Who’s involved 

Sustainability & Transformation Plan

Every area in the country is working on a “sustainability and transformation plan (STP)” for health and care over the next five years.
See the full Mid and South Essex Sustainability and Transformation Plan (STP) and summary document

View the plans