NHS 10 Year Health Plan. Change NHS: a health service fit for the future
The national 10 Year Health Plan – an update
Launched October 2024 the NHS undertook the biggest conversation ever about future of the NHS. This engagement saw:
- A National Summit bringing together hundreds of members of the public and health and care staff to help to shape the Plan.
- More than 1.9 million visits to the Change NHS website
- Over 750 members of the public and over 3,000 health and care staff from every NHS region of England taking part in discussions to get their views on how we can deliver the three shifts
- Over 1,600 responses from organisations on the portal and meetings with partners through our Partners Council to capture their expertise and channel the views of seldom-heard voices
- Over 650 community workshops hosted by partner organisations and local health systems, with over 17,000 people attending local events across England. This included those whose voices are often underheard such as Gypsy, Roma and Traveller communities, people with alcohol and drug dependence and people experiencing homelessness
- 800 Integrated Care System leaders – from the NHS and local government – attending regional events to talk about the plan
The 10 Year Health Plan in Devon
To support the development of the Government 10 Year Health Plan for England: fit for the future, NHS Devon ran an extensive engagement programme with staff, patients, public and partners in Devon.
The focus of the engagement programme was to explore views in relation to the “three big shifts” in healthcare which will be at the foundation of the national 10-year health plan.
- Hospital to community
- Analogue to digital
- Sickness to prevention
The Devon engagement programme captured the views of our people and communities in Devon to inform local priorities and strategy development while supporting the national 10-year plan process.
It was co-designed in collaboration with Healthwatch Devon, Plymouth and Torbay and feedback was gained from the membership of the Devon Engagement Partnership (DEP).
To ensure the views of our people and communities were used to support the development of the national 10 Year Plan, NHS Devon aligned with the questions that were asked as part of the national programme.
The agreed objectives for the Devon 10 Year Plan engagement programme were:
- Target the right people, in the right places and at the right time to reach all people and communities in Devon.
- Work with key partners and trusted voices to reach the Core20PLUS5 target population.
- Encourage sign-up for continuous engagement in Devon, to increase public involvement in NHS transformation and delivery now and into the future
- Drive uptake to the locally hosted version of the national survey
- Minimise public confusion by keeping the engagement approach clear and straightforward, but creative in how people are reached
- Work with NHS Cornwall and Isles of Scilly ICB and NHS Somerset ICB on the borders of Devon, Cornwall and Somerset.
The key to the success of this approach was collaborating with key partners and working as one team, utilising our respective networks and channels to spread the reach of our engagement across the county.
The response to our engagement
More than
3,400 pieces of feedback
2,353
survey responses
50 workshops hosted across Devon
358 people attended a workshop
More than
700 written postcards completed
More than 220 people recruited for continuous engagement
Overarching key themes from all engagement methods
People valued the NHS being free at the point of access
The NHS workforce is seen as the most valuable, but most vulnerable asset
People valued the wide range of services that were available and how they have helped personally
Address access to primary care and mental health, and reduce waiting times in ED and elective care
The satisfaction levels of how the NHS Is run is low, but this is aligned to the national picture
Funding the NHS sufficiently should be a priority
Specific key themes relevant to the three shifts
Hospital to Community
Sickness to prevention
Analogue to
digital
There needs to be more investment in front line services and a reduction in management costs.
When people access services – their experience is generally positive.
To avoid people getting poorly in the first place – there needs to be better access to diagnostic and preventative services.
There needs to be more education and strategies in place to improve people’s confidence in taking ownership for their own health and wellbeing.
Advances in technology will support efficiency, help join up services and improve prevention, diagnostics and communication.
However, there were high levels of mistrust in relation to AI and data safety, aligned to concerns about reliability and increasing health inequalities for those who do not access digital information.
There needs to be a more joined up approach across the different health and care services. There needs to be more effective solution supported by good communication.
Engagement report
Devon’s 10 Year Health Plan engagement report
It is with great pride that I introduce this report on Devon’s 10-Year Health Plan engagement. Over the past few months, thousands of local people from across our communities have generously shared their views, experiences, and hopes for the future of health and care in Devon.
This incredible level of participation reflects the deep commitment we all share to building a healthier, more connected, and more resilient Devon.
Listening to our communities is at the heart of everything we do. The insights gathered through this extensive engagement will play a vital role in shaping the services and support in Devon, ensuring they truly meet the needs of our population now and the future.
We recognise that health and care is not just about treatment, but about prevention, wellbeing, and enabling people to live their best lives in the place they call home.
This report captures the voice of Devon’s people and demonstrates our ongoing promise to work together – patients, families, staff, partners, and the public – to design a sustainable, compassionate, and effective health and care system.
The challenges we face are complex, but by harnessing the power of collaboration and community insight, I am confident we can create a future that is both innovative and inclusive.
I would like to extend our thanks to Healthwatch Devon, Plymouth and Torbay, and all our voluntary sector partners for their valuable contributions to the local engagement.
Their support in reaching out to communities and encouraging meaningful conversations has been vital to this process.
We are also deeply grateful to everyone who took the time to participate and share their views. Your insights and experiences are instrumental in shaping a health and care system that better reflects the needs of the people it serves.
Thank you all for your commitment and involvement.
Steve Moore
Chief Executive, NHS Devon and One Devon
You can download the Devon 10 Year Plan engagement report in full below
Devon 10 Year Health Plan - engagement report - July 2025
4th August 2025
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