Members of the public as well as NHS staff and experts will be invited to share their experiences views and ideas for fixing the NHS

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The biggest national conversation about the future of the NHS since its birth is set to be launched today (Monday 21 October), as the entire country is called upon to share their experiences of our health service and help shape the government’s 10 Year Health Plan. 

Members of the public, as well as NHS staff and experts will be invited to share their experiences views and ideas for fixing the NHS via the online platform, change.nhs.uk, which will be live until the start of next year, and available via the NHS App.  

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The public engagement exercise will help shape the government’s 10 Year Health Plan which will be published in spring 2025 and will be underlined by three big shifts in healthcare - hospital to community, analogue to digital, and sickness to prevention. 

As part of the first shift “from hospital to community”, the government wants to deliver plans for new neighbourhood health centres, which will be closer to homes and communities. Patients will be able to see family doctors, district nurses, care workers, physiotherapists, health visitors, or mental health specialists, all under the same roof. 

In transforming the NHS from analogue to digital, the government will create a more modern NHS by bringing together a single patient record, summarising patient health information, test results, and letters in one place, through the NHS App. It will put patients in control of their own medical history, meaning they don’t have to repeat it at every appointment, and that staff have the full picture of patients’ health. New laws are set to be introduced to make NHS patient health records available across all NHS trusts, GP surgeries and ambulance services in England – speeding up patient care, reducing repeat medical tests, and minimising medication errors. 

Systems will be able to share data more easily, saving NHS staff an estimated 140,000 hours of NHS staffs’ time every year, because staff will have quicker access to patient data, saving time that can then be spent face-to-face with patients who need it most and potentially saving lives.

By moving from sickness to prevention, government wants to shorten the amount of time people spend in-ill health and prevent illnesses before they happen. As an example, the 10 Year Health Plan will explore the opportunities smart watches and other wearable tech may offer patients with diabetes or high blood pressure, so they can monitor their own health from the comfort of their own home. 

The launch of the new online platform will take place at a health centre in East London, where the Secretary of State will meet with the Chief Executive of the London Ambulance Service before the first engagement event involving NHS staff from across the healthcare system as a start to the national conversation.

Prime Minister Keir Starmer said:

Health and Social Care Secretary Wes Streeting said:

Investment alone won’t be enough to tackle the problems facing the NHS, why is why it must go hand in hand with fundamental reform.

The three big shifts will be our key principles for reform and will revolutionise the way people manage their health and access care. Our reforms will also shift the NHS away from late diagnosis and treatment to a model where more services are delivered in local communities and illnesses are prevented in the first place.

It is vital the government hears from patients, experts and the NHS workforce to make sure we get this right and preserve the things people value about the health service.

NHS England Chief Executive Amanda Pritchard said:

Bold ambitions for the NHS can only be achieved by listening to the expertise and knowledge of its 1.54 million strong workforce. Their understanding of what’s holding them back from performing at their best will help us bring down waiting times and provide the world class care the public deserve.    

The government has already taken immediate action to address challenges in the health service and deliver an NHS fit for the future. Whether that’s agreeing a deal with resident doctors within weeks, securing a funding increase for GP practices to manage rising pressures or hiring an extra 1,000 GPs into the NHS by the end of this year, there are both short- and long-term reforms working hand in hand.

Lord Ara Darzi said:

The start of this national conversation on the future of the NHS follows on from Lord Darzi’s independent report into the health service that diagnosed its condition. Lord Darzi concluded the NHS is in a ‘critical condition’ with surging waiting lists and a deterioration in the nation’s underlying health, identifying serious and widespread problems for people accessing services. 

The launch of the engagement exercise for the 10 Year Health Plan will build on these findings and is the next step to delivering the Government’s mission to fix the NHS and deliver a health service fit for the future.

Rachel Power Chief Executive, The Patients Association said:

Louise Ansari, Chief Executive of Healthwatch England said:

Cllr Louise Gittins, Chair of the Local Government Association said:

Caroline Abrahams, Charity Director at Age UK said:

The Deputy Chief Executive of NHS Providers, Saffron Cordery said:

Jacob Lant, Chief Executive of National Voices said:

Matthew Taylor, Chief Executive of the NHS Confederation said:

Helen Walker, Chief Executive of Carers UK said:

Cancer Research UK’s chief executive, Michelle Mitchell, said: