title: Plans made in secrecy and met with fear.
abstract: [Figure: see text] It is difficult to argue against the basic concepts of NHS England's sustainability and transformation plans (STPs). Faced with growing demand for acute health and social care, evidence for concentrating treatment services in centres of excellence, and pressures on resources, the aim of developing a sustainable and effective NHS is understandable.
authors.forename: Rod
authors.initials: R
authors.lastname: Thomson
mesh_terms: D003219:Confidentiality; D003657:Decision Making; D005239:Fear; D006295:Health Resources; D013222:State Medicine; D006113:United Kingdom