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10 Year Health Plan for England Enabling Working Group Reports

The Department of Health and Social Care is developing a 10 Year Health Plan for England through enabling working groups, with cross-government coordination from the Prime Minister's Office. The plan addresses long-term healthcare strategy and includes focus areas such as early intervention in the first 1000 days of life, NHS financial stability, and federated data platforms. Current status involves government responses to parliamentary health committees and implementation of vision working group recommendations.

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Family: Scrutiny and evidence
22 Apr 2026 | Written evidence linked

We asked the Department how it had concluded that the new hospitals required more beds than those they were replacing given that its 10-year health plan aims to shift of care out of hospitals and into the community.41 The Department told us that, since 2023, it had updated overly optimistic assumptions about bed capacity and future demographic growth while considering what care can be moved out of hospitals and into the community. NHS England said that underlying growth in demand was “general...

We asked the Department how it had concluded that the new hospitals required more beds than those they were replacing given that its 10-year health plan aims to shift of care out of hospitals and into the community.41 The Department …

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29 Jan 2025 | Committee report linked

DHSC also noted that 2024–25 had been especially complicated due to ‘external shocks’ and, in particular, very high rates of inflation which made budget-setting very unpredictable.11 It accepted that it was preferable to give longer for local systems to plan their budgets, but said there was a trade-off between how early this took place and the extent to which guidance reflected an up-to-date picture of the wider fiscal and economic environment.12 It felt that to provide budget figures and gu...

DHSC also noted that 2024–25 had been especially complicated due to ‘external shocks’ and, in particular, very high rates of inflation which made budget-setting very unpredictable.11 It accepted that it was preferable to give longer for local systems to plan …

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29 Jan 2025 | Committee report linked

NHSE received significant extra funding from the government during the course of 2023–24. This included £2.8 billion to support new pay deals for staff, and £1.7 billion to mitigate the impact of industrial action. Despite this extra money, NHS systems still finished the year with an aggregated £1.4 billion deficit, which was double the £720 million deficit in the plans NHSE agreed with them early in the year.17

NHSE received significant extra funding from the government during the course of 2023–24. This included £2.8 billion to support new pay deals for staff, and £1.7 billion to mitigate the impact of industrial action. Despite this extra money, NHS systems …

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17 Nov 2023 | Committee report linked

After the evidence session, DHSC provided us with its current detailed schedule showing the approval and construction stages for each scheme to be completed by 2030. DHSC told us that this would be subject to detailed re-planning which is underway and asked us not to publish the information on the grounds of commercial sensitivity, in particular with future competitive tendering processes in mind.17 However, with 19 new schemes (cohorts 3 and 4 and the additional RAAC hospitals) all to be com...

After the evidence session, DHSC provided us with its current detailed schedule showing the approval and construction stages for each scheme to be completed by 2030. DHSC told us that this would be subject to detailed re-planning which is underway …

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5 Jul 2023 | Committee report linked

On 18 August 2020, the Department announced a reorganisation of public health in England. The UK Health Security Agency (UKHSA) was subsequently established as an Executive Agency of the Department on 1 April 2021 with its Chair and Chief Executive appointed on the same day. It became fully operational on 1 October 2021, when it became responsible for the health protection functions of the former Public Health England (‘PHE’) and became responsible for NHS Test and Trace and the Joint Biosecu...

On 18 August 2020, the Department announced a reorganisation of public health in England. The UK Health Security Agency (UKHSA) was subsequently established as an Executive Agency of the Department on 1 April 2021 with its Chair and Chief Executive …

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30 Mar 2023 | Committee report linked

NHS England should provide an update on whether they intend to refresh their 2019 Long-Term Plan and, if so, when. Any update to NHS England’s Long-Term Plan must put prevention and long-term transformation at its heart, empowering ICSs to pursue these priorities and giving them the confidence that they have the necessary backing from the Government and NHS England. This should also apply to the Government’s pending Major Condition’s Strategy. (Paragraph 37) Integrated Care Systems: autonomy ...

NHS England should provide an update on whether they intend to refresh their 2019 Long-Term Plan and, if so, when. Any update to NHS England’s Long-Term Plan must put prevention and long-term transformation at its heart, empowering ICSs to pursue …

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30 Mar 2023 | Committee report linked

The core purposes of ICSs, and the importance of addressing local needs, will not be met without good patient and carer involvement. ICSs cannot truly deliver for their local area without considering the needs of that area from the patient or carer’s perspective. (Paragraph 81) Integrated Care Systems: autonomy and accountability 27

The core purposes of ICSs, and the importance of addressing local needs, will not be met without good patient and carer involvement. ICSs cannot truly deliver for their local area without considering the needs of that area from the patient …

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1 Mar 2023 | Committee report linked

We asked how confident NHSE was about the component programmes in its plan, particularly those aimed at increasing elective and diagnostic capacity. It told us that it did not have strong evidence for some of its programmes at present, but said it was building evaluation into its programmes on surgical hubs and community diagnostic centres.33 It said “the basis of a formal evaluation is clearly in place”.34 We hope that NHSE will take this responsibility to evaluate seriously. These are promi...

We asked how confident NHSE was about the component programmes in its plan, particularly those aimed at increasing elective and diagnostic capacity. It told us that it did not have strong evidence for some of its programmes at present, but …

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1 Mar 2023 | Committee report linked

We also asked NHSE whether its increased use of the independent healthcare sector might detract from or reduce activity within the NHS itself. NHSE told us that this was a key consideration in decisions about when to use the independent sector. It confirmed that it was working to support NHS and independent sector providers to work as productively as possible together.38 32 C&AG’s Report, para 8, 1.24 33 Q 61 34 Q 62 35 C&AG’s Report, para 1.25 36 C&AG’s Report, paras 8, 2.22, 2.29 37 NHS0021...

We also asked NHSE whether its increased use of the independent healthcare sector might detract from or reduce activity within the NHS itself. NHSE told us that this was a key consideration in decisions about when to use the independent …

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8 Feb 2023 | Committee report linked

On the basis of a report by the Comptroller and Auditor General, we took evidence from the Department of Health & Social Care (the Department) and NHS England about the introduction of Integrated Care Systems (ICSs) in England.1

On the basis of a report by the Comptroller and Auditor General, we took evidence from the Department of Health & Social Care (the Department) and NHS England about the introduction of Integrated Care Systems (ICSs) in England.1 Type: conclusion …

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25 Jul 2022 | Committee report linked

We welcome the previous Secretary of State’s determination to meet his duties under section 41 of the Health and Care Act. To meet these duties, the new Secretary of State must lay before Parliament objective, transparent and independently audited reports on workforce projections for health, public health, and social care that cover the next five, ten, and twenty years. The reports should state current staffing levels, future staff projections, and an assessment of whether sufficient numbers ...

We welcome the previous Secretary of State’s determination to meet his duties under section 41 of the Health and Care Act. To meet these duties, the new Secretary of State must lay before Parliament objective, transparent and independently audited reports …

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25 Jul 2022 | Committee report linked

The Government has accepted the recommendation, first made by this committee and then by the Ockenden report, that maternity services should be funded by an additional £200–350 million per annum. The Government must lay before Parliament, within six months, a plan for this spending increase, detailing exactly how much additional investment will be made, where the investment will be made, and plans for the next one, five, and 10 years of spending.

The Government has accepted the recommendation, first made by this committee and then by the Ockenden report, that maternity services should be funded by an additional £200–350 million per annum. The Government must lay before Parliament, within six months, a …

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