Brent Patient Voice , a sister organisation, has published a critique of the Sustainability and Transformation Plan of its area, North West London STP area. We might find that some of the criticisms put forward are applicable in our case, for example, excessive optimisim about possible savings and cost reductions, and double counting of savings at the STP and local authority level. However, our situation is very different from that in North West London. We don't have an excess of acute hospitals to close, although we know that our community hospitals will be subject to review. The Brent Patient Voice critique is an attached document below.