HSJ Health Check A profound disappointment
Jul 4, 2025
The recent 10-Year Health Plan has sparked disappointment, with concerns over funding and community health support. Shifts toward competition within the NHS raise alarms about staff reductions and integrated care. The complexities of workforce planning highlight a lack of actionable strategies in the face of rising demand. Innovative technologies and the implications of foundation trust statuses are also discussed, and the upcoming financial strategies signal shifts in care delivery. Media reception and its influence on public understanding are critically analyzed.
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Shift to Internal Market Model
- The 10-Year Health Plan reveals a government focus on limited NHS funding and reducing staff numbers.
- It marks a major shift back towards an internal market model with ICBs commissioning and trusts competing.
IHOs to Replace ICBs
- Integrated Health Organizations (IHOs) are set to become the norm, phasing out ICBs.
- This transforms commissioning and raises questions about roles of GP federations in neighborhood care.
Workforce Plan Cuts Staff Numbers
- The new workforce plan will reduce the number of NHS staff planned for 2035 due to affordability.
- It will increase GP numbers faster, addressing primary care needs more sensibly.