northamptonshire formed a sustainability and transformation plan area in march 2016 with john wardell, the accountable officer of nene clinical commissioning group, as its leader in may 2018 the partnership, which had been rated “in need of improvement” by nhs england in 2017, produced a list of “helpful” and “unhelpful” behaviours for its board members and planned to hold a “reconciliation event” hoping to override all individual or organisational self-interest. it was unclear whether this difficulty was related to the financial difficulty of northamptonshire county council.