 Herefordshire and Worcestershire formed a sustainability and transformation plan area in March 2016 with Sarah Dugan, the Chief Executive of Worcestershire Health and Care NHS Trust, as its leader In March 2018 it was announced that Simon Trickett will become the new accountable officer for all four CCGs from May 2018.There are about 570,000 residents in the county, 19% aged over 65, compared with 16% across England.The annual health budget is about £900m, more than half of which goes to Worcestershire Acute Hospitals NHS Trust.