We welcome the opportunity to submit evidence to the government’s consultation on Change NHS, the 10-year health plan for England, via the organisational response forum.

Our key messages for each of the five consultation questions are below.

What does your organisation want to see included in the 10-Year Health Plan and why?

1. Make "the how" and "the what" equal partners in progressing the three shifts
   • Change behaviour to progress change
   • Enable a responsive and continuously improving system
   • Cross-departmental accountability for the health and care of the population
     
     
2. What does your organisation see as the biggest challenges and enablers to move more care from hospitals to communities?
   • A clearly articulated and well-understood vision of the shift of care into the community
   • Robust data collection, analysis and sharing to join up care and enable continuous improvement
   • Funding must follow the ambitions to shift more care into the community
   • The right number and mix of staff with the right skills
     
     
3. What does your organisation see as the biggest challenges and enablers to making better use of technology in health and care?
   • Funding and financial constraints (73% say this is a barrier)
   • Operational pressures impacting technology adoption (50% say this is a barrier)
   • Inadequate infrastructure (38% say this is a barrier)
   • Lack of appropriate workforce capability (35% say this is a barrier)
     
     
4. What does your organisation see as the biggest challenges and enablers to spotting illnesses earlier and tackling the causes of ill health?
   • National prioritisation
   • Support to prioritise prevention
   • Funding levels and flows
   • Collaborative system working to understand and act on population health needs
     
     
5. Please use this box to share specific policy ideas for change. Please include how you would prioritise these and what timeframe you would expect to see this delivered in.
   • Focus on prevention and early intervention, and integrating health and care within the work of every part of government, to ensure the sustainability of the NHS and secure a significant social and economic return on investment.
   • Invest in eliminating the maintenance backlog and the systematic renewal of our facilities, technology and estates to improve the quality and safety of patient care and deliver even greater value for money.
   • Deliver the NHS LTWP, and redouble efforts to improve the equality, diversity and inclusion experienced by our people, to create the capacity and capability to deliver the best possible patient care, now and in the future.
   • Enable a learning culture and invest in the skills for continuous improvement and evidence-based decision making to improve the safety and quality of care, productivity and staff experience.
   • Meet more patient needs in the community and create a robust social care sector to support the performance and sustainability of the whole health and care system.