Westminster Health Forum

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Next steps for 10 Year Health Plan delivery and NHS reform

service models & structures | funding priorities | prediction, prevention & strengthening public health | equitable service access | neighbourhood care service models | co-designing with patients | workforce recruitment, retention & redistribution

May 2026


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Format: DOWNLOADABLE PDF


This conference considered priorities and practicalities for implementation of the 10 Year Health Plan and delivery of wider reform to the NHS.


It brought stakeholders and policymakers together to discuss key issues, including workforce planning for future service models, leadership capacity, approaches to sharing effective practice, and the future direction of integrated care systems as strategic commissioning evolves.


Strategic direction
Attendees considered operational requirements for optimising efficiency, including roles and responsibilities across the Department of Health and Social Care, integrated care systems and local organisations. The potential impact of changes to system structures was explored, looking at how resources can be redirected towards frontline care while maintaining local capability and patient safety. There was a focus on timescales and resourcing, including consideration of the Medium Term Planning Framework, NHS England’s recent planning guidance, and approaches to managing cost pressures alongside productivity, efficiency, and outcomes.


Workforce
Priorities for the refreshed workforce plan were also considered, following the DHSC’s consultation in September 2025. Sessions assessed approaches to supporting providers in managing the transition alongside elective and urgent care pressures, with discussion on recruitment and retention strategies, training capacity - including key considerations for implementation of the Medical Training (Prioritisation) Act 2026 - ICS development, leadership pipelines for clinical and managerial roles, and accountability mechanisms.


Oversight & leadership
Maintaining system resilience and patient safety during structural change was a key focus, including discussion on new approaches, such as the Government’s recent announcement of plans for greater autonomy for high‑performing NHS trusts. Roles and responsibilities of DHSC, NHS England, ICSs and providers, were discussed, as well as differing perspectives on implications of recent changes to managerial regulation and their impact on organisational culture and transparency.


In discussing workforce issues, leadership development were considered, alongside strategies for supporting and managing the transition to neighbourhood-based care and expanded use of digital tools. Sessions explored potential risks and mitigations associated with service redesign, skills mix, and investment decisions.


Funding and oversight arrangements for adult social care were also discussed, including its role in supporting neighbourhood care and reducing reliance on hospital services. Sessions considered workforce requirements and priorities for integration between health and local authority services. The conference also examined oversight and accountability arrangements as NHS England functions transition to the Department of Health and Social Care, alongside the wider direction of reform in adult social care and its relationship with health services.


Prevention of ill health
Delegates assessed approaches for moving towards a preventative healthcare system, with concerns from some stakeholders about the degree of emphasis in the plan on public health.


Examining whether public health, local government and community services have the resources and powers for effective delivery, areas for discussion included strategic options for integrating healthy ageing and physical activity into the Plan’s delivery, alongside enabling effective cross-sector partnerships to address inequalities driven by social determinants of health. Consideration was also given to funding models and sustainability, collaboration and governance frameworks, and service design tailored to local needs.


Next steps for scaling diagnostics and personalisation into routine care were discussed, considering stakeholder perspectives on trust, reliability, and human oversight in advanced diagnostics, such as artificial intelligence-enabled tools. Equity and access were also examined, including challenges around scaling costs, data fragmentation, and diagnostic delays in routine care.


Sessions also explored opportunities to strengthen the use of digital tools and data for prediction, prevention, and access to care, including approaches to expanding functions in the NHS App and supporting patient engagement. Stakeholder concerns around timelines, costs, and practical challenges associated with progressing towards a single patient record were discussed, including issues of interoperability and implications for access and efficiency.


Local delivery
The agenda included discussion on broader strategic issues related to the deployment of 27 new neighbourhood health centres and the delivery of care closer to home, including estates, workforce requirements, and long-term sustainability. The Neighbourhood health framework for local system delivery was examined, drawing on early insights from rollout. Sessions also considered the role of new public-private partnerships announced in the 2025 Autumn Budget, including lessons from previous models and factors affecting value for money and long-term resilience.


As well as key stakeholders those attending included officials from the Department of Health and Social Care; Department for Business and Trade; Department for Education; Department for Science, Innovation and Technology; Care Quality Commission; Food Standards Agency; Medicines and Healthcare products Regulatory Agency; HM Prison and Probation Service; UK Health Security Agency; Health and Safety Executive; Information Commissioner’s Office; National Audit Office; Foreign, Commonwealth and Development Office; Department of Health, ROI; National Audit Office; Office for Investment; the Welsh Government; and The Scottish Government.



This on-demand pack includes

  • A full video recording of the conference as it took place, with all presentations, Q&A sessions, and remarks from chairs
  • An automated transcript of the conference
  • Copies of the slides used to accompany speaker presentations (subject to permission
  • Access to on-the-day materials, including speaker biographies, attendee lists and the agenda