Published on 3rd July 2025, the Fit for the Future: 10 Year Health Plan for England sets out a long term strategy to redesign health and care services across the country. Developed by the Department of Health and Social Care, the plan is built around three major shifts: from hospital to community, analogue to digital, and sickness to prevention.
The report acknowledges that the current system is under growing strain, with increasing demand, persistent inequalities, and an ageing population. To address this, the plan focuses on helping people live longer, healthier lives through earlier intervention, more personalised care, and better access to support close to home.
One of the main aims is to halve the healthy life expectancy gap and improve outcomes by tackling preventable illness. It also commits to expanding local care hubs, embedding digital tools across the system, and ensuring that people with long-term conditions have personalised care plans in place.
“Too often, we wait for people to become seriously ill before they receive help. This plan is about getting ahead of illness and supporting people to stay healthy for longer.”
Key priorities and reforms
The plan outlines three main shifts in care delivery:
From hospital to community – delivering more care through local neighbourhood teams and new health hubs offering face-to-face, telephone and online support.
From analogue to digital – expanding use of the NHS App, introducing a shared care record for every patient by 2028, and providing safe access to digital tools through a national HealthStore.
From sickness to prevention – increasing uptake of personalised care plans, supporting access to weight-loss treatments, tackling tobacco and alcohol harm, and embedding early risk identification.
To support these changes, six national reforms are proposed covering: leadership and workforce, data and digital infrastructure, innovation and regulation, payment and incentives, and patient voice.
Implementation and next steps
The plan includes 12 national delivery priorities, covering areas such as maternity care, mental health, long-term conditions, diagnostics, elective care and end-of-life support. Key milestones include universal access to a digital care record by 2028 and personalised care plans for 95% of people with long-term conditions by 2027.
Learn more about key priorities from the 10-year plan including maternity, mental health, frailty, end of life care, workforce development, and digital transformation – at our upcoming virtual conferences.
Read more on the Fit for the Future 10 Year Health Plan for England here
