Navigating the NHS 10-Year Plan

The NHS Fit for the Future 10-Year Health Plan, published on 3 July 2025, sets out a transformative vision for the future of healthcare in England. It focuses on three core objectives:

  • Moving care from hospitals to community settings
  • Transitioning services from analogue to digital
  • Shifting the emphasis from sickness to prevention

To achieve these goals, the Plan introduces a new operating model that will reshape how services are commissioned, delivered, and governed. This includes the development of Neighbourhood Health Centres, the emergence of Single Neighbourhood Providers (SNPs), and a move towards multi-provider commissioning models. These changes will have far-reaching implications for how healthcare organisations structure their services, manage contracts, and collaborate across systems.

Explore our resources

This dedicated page brings together all our insights to help healthcare professionals, commissioners, and providers prepare for the changes ahead:

Webinars

Articles

How Hempsons can help

We are working closely with clients across the NHS and wider health and care sector to help them understand and respond to the Plan’s proposals. Whether you’re a general practice, PCN, GP federation, provider trust, or commissioning body, we can help you identify opportunities, mitigate risks, and position your organisation for long-term success.

Navigating new contracting models: SNPs and MNPs

The Plan introduces Single Neighbourhood Providers (SNPs) and Multi-Neighbourhood Providers (MNPs) as new contracting vehicles. SNPs are expected to serve populations of around 50,000 and may replace traditional GMS/PMS contracts, while MNPs operate at a larger scale (250,000+) and may align with ICB redesigns.

We can help you:

  • Understand the legal and governance implications of forming or joining an SNP or MNP
  • Explore federation-led models for subcontracting and revenue stability
  • Prepare bids under the Provider Selection Regime (PSR) and assess your readiness for new procurement processes

Planning for premises development under the Neighbourhood Health Implementation Programme

The Plan targets the creation of 50 Neighbourhood Health Centres by 2029, with up to 300 by 2035, prioritising deprived communities. These may involve refurbishments, repurposing existing estate, or new builds, with potential use of Public Private Partnerships (PPP).

We can support you with:

  • Strategic premises planning and business case development
  • Legal advice on PPP models and infrastructure finance
  • Contracting and lease arrangements aligned with NHS reimbursement rules

Preparing for digital transformation and data compliance

The Data (Use and Access) Act 2025, now passed by Parliament, introduces mandatory information standards for IT suppliers and NHS providers. It supports the Plan’s ambition to create a Single Patient Record, enable AI and genomics, and improve interoperability.

We can help you:

  • Review your IT contracts and data-sharing arrangements
  • Ensure compliance with new standards and procurement requirements
  • Understand the implications for digital transformation and patient safety

Assessing governance risks and opportunities

As organisations restructure to align with neighbourhood models, governance becomes critical.

We advise on:

  • Partnership deeds, incorporation, and merger models for practices and PCNs
  • Board composition, voting rights, and legal responsibilities
  • Risk management and transitional planning for staff, contracts, and service pathways

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