NHS England’s Medium-Term Planning Framework: Delivering Change Together (2026/27 to 2028/29) outlines a comprehensive strategy to reshape health and care services across England. It emphasises collaboration, innovation, and sustainability to meet evolving population needs and financial pressures. It builds on recent reforms and lessons learned from the pandemic, aiming to deliver better outcomes for patients, staff, and communities.
Strategic Priorities
- Prevention and early intervention: A shift toward proactive care, with increased investment in public health and community services.
- Integrated care systems (ICSs): Strengthening collaboration across NHS organisations, local authorities, and voluntary sectors to deliver joined-up care.
- Workforce transformation: Addressing staffing challenges through recruitment, retention, and new roles, with a focus on wellbeing and flexible career pathways.
- Digital and data innovation: Expanding digital infrastructure and data sharing to improve decision-making, patient experience, and operational efficiency.
- Financial sustainability: Emphasising value for money and productivity, with clear expectations for cost control and resource optimisation.
Planning Expectations
- Three-year operational plans: NHS organisations are expected to develop aligned plans that reflect national priorities and local needs.
- Performance metrics: Targets include reducing waiting times, improving access to mental health services, and increasing cancer screening rates.
- Equity and inclusion: Tackling health inequalities is a core requirement, with a focus on underserved populations and inclusive service design.
Collaborative Delivery
- The framework encourages co-production with patients and communities, ensuring services are shaped by those who use them.
- It also promotes cross-sector partnerships, particularly in areas like housing, education, and employment, to address wider determinants of health.
Read our full summary below:
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This planning framework marks a pivotal moment for the NHS, aiming to deliver lasting change through shared leadership, innovation, and a relentless focus on improving lives.
Find the full framework click here.
