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The government's 10-year plan for health and care

Three future shifts

Our health and care system is in crisis and at risk of becoming financially and operationally unsustainable. The King’s Fund supports the need for transformational shifts in how health and care services are planned, delivered and accessed.

The government has a mission to improve health, and as part of that is working to produce a 10 Year Health Plan for health in order to reform the health system, structured around three shifts: from a service treating sickness to one focused on preventing illness occurring in the first place; from delivering care in hospitals to delivering care closer to home, in communities and in primary care; and digital transformation of service delivery.

Here we explore how to make those shifts happen.

Implementing the 10 Year Health Plan

The case for reform and approach to it

The Darzi review showed that services are stretched to breaking point and that incremental improvement will not do. Radical change is needed.

From hospital to community services

The biggest improvements to health and care will come from prioritising services outside of hospital. That means greater investment in the primary and community services that support people before they end up needing hospital treatment.

  • A ‘radically realistic’ vision for adult social care

    Simon Bottery and Sally Warren set out a radical but realistic vision of the future of social care, built around four principles of a good care system: availability, personalisation, qua...

  • Making care closer to home a reality

    This report explores the factors that have prevented successive governments from putting primary and community services at its core and proposes several steps to begin this shift.

  • General election priorities: improving access to out-of-hospital care

    Improving access to out-of-hospital care

    This briefing focuses on how to improve access to out-of-hospital care, including GPs, social care, community services and community mental health services.

From treating sickness to preventing it

There needs to be political focus on public health strategies that keep people healthy and prevent illness in the first place.

  • Tackling health inequalities: seven priorities for the NHS

    Drawing on The King’s Fund’s five-year programme of work on health inequalities, this long read outlines what we think the anticipated 10-year health plan should focus on to help the NHS...

  • General election priorities: tackling the biggest risk factors affecting people's health

    Tackling the biggest risk factors affecting people’s health

    This briefing focuses on how to tackle the biggest risk factors affecting people’s health.

  • Three people climbing a ladder

    What are health inequalities?

    This explainer provides an overview of how health inequalities are experienced in England’s population.

From analogue to digital

Digital technology can improve patient experience and outcomes. It can help deliver the long-held but unrealised ambition of moving care closer to home.

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