The government’s 10 Year Health Plan sets out a bold and ambitious vision for improving health and wellbeing, tackling inequalities, and transforming the way care is delivered.
It has been shaped by the experiences and expectations of members of the public, patients, partners and the health and care workforce across the country, reflecting the changes that people wanted to see.
Through the ‘three shifts’ – from hospital to community, from analogue to digital, and from treatment to prevention – it aims to personalise care, give more power to patients, and ensure that the best of the NHS is available to all.
We are making good progress on developing a neighbourhood health service, which is a key part of the Plan. You can read more in this section.
The three shifts
1. From hospitals to communities
We are redesigning services around local neighbourhoods, supporting people earlier and closer to home. In Southwark, teams are delivering proactive care for older residents with frailty, reducing outpatient appointments by 27%. The CHILDS model is helping children manage conditions like asthma through earlier, community-based care. The Connecting Greenwich Programme brings integrated, community-based health and care services closer to residents’ homes, improving access and outcomes through collaboration with local partners and tailored support across a wide range of needs.
2. From analogue to digital
We are using digital tools to support faster, safer and more connected care. The south east London hub of the London Care Record gives professionals secure access to vital patient information, like medications, allergies and care plans, no matter where someone is treated. It makes care more joined up, reducing the need for patients to repeat their stories.
3. From curing illness, to preventing it
We are investing in helping people stay well for longer. In Bexley, older residents are offered Functional Fitness MOTs to prevent frailty and support healthy ageing. In Bromley, the new One Bromley Health and Wellbeing Hub is tackling the top five causes of poor health, offering services like smoking cessation, cost-of-living advice, and support for carers. In Lewisham, the Waldron Health Centre and Community Hub provides access to both clinical services and social support in one community space.
As we continue to deliver the 10 Year Health Plan, neighbourhood working will remain central to our approach.
We will listen to local people, learn from their experiences, and design services that reflect their lives.