The NHS 10 Year Plan, officially called the NHS Long Term Plan, is a strategic document published in January 2019 that outlines the vision and priorities for the NHS in England over a ten-year period. It sets out how the NHS will allocate its £20.5 billion funding increase, focusing on areas such as integrated care systems, preventative healthcare, digital transformation, and improvements in cancer, mental health, and primary care services.
The NHS 10 Year Plan identifies several key priorities: improving out-of-hospital care through primary care networks; reducing pressure on emergency services; providing more personalised care; making digital health services mainstream; focusing on prevention and health inequalities; improving cancer care outcomes; enhancing mental health services, particularly for children and young people; and developing integrated care systems across England to better coordinate services.
The NHS 10 Year Plan places Primary Care Networks (PCNs) at the heart of healthcare transformation. It provides significant investment for PCNs to expand their workforce, including clinical pharmacists, social prescribers, physician associates, and paramedics. PCNs are expected to deliver seven national service specifications outlined in the plan, focusing on areas such as structured medication reviews, enhanced health in care homes, and personalised care. The plan also encourages PCNs to work within Integrated Care Systems to provide more joined-up services.
The NHS 10 Year Plan is supported by a £20.5 billion annual funding increase for the NHS in England by 2023/24 (in real terms). This represents an average 3.4% annual real-terms growth over five years. The funding has been allocated across various priority areas, with significant investments in primary and community care (receiving at least £4.5 billion more by 2023/24), mental health services (growing by at least £2.3 billion), and capital investment to upgrade facilities and technology.
Implementation of the NHS 10 Year Plan is monitored through several mechanisms. NHS England and NHS Improvement oversee progress at a national level, while Integrated Care Systems and Clinical Commissioning Groups monitor local delivery. The NHS publishes annual progress reports, and specific metrics have been developed to track improvements in key areas. The plan is also subject to parliamentary scrutiny, with the Health and Social Care Select Committee regularly reviewing progress. Additionally, local systems are required to develop five-year implementation plans that are monitored against agreed milestones and targets.
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