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Home » Nurses to be based in ‘neighbourhood centres’ under government plan
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Nurses to be based in ‘neighbourhood centres’ under government plan

adminBy adminJuly 2, 2025No Comments7 Mins Read
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Nurses will treat millions more patients closer to home with the roll out of ‘neighbourhood health services’ across the country, according to the government, as part of its new 10 Year Health Plan.

It said these neighbourhood services would be introduced across England, bringing diagnostics, mental health, post-op, rehab and nursing under one roof, and be open at evenings and weekends.

“Our 10 Year Health Plan will fundamentally rewire and future-proof our NHS”

Sir Keir Starmer

It represents part of one of the government’s three main aims for the plan, namely, to shift care out of hospitals and into the community, which was first announced last year, not long after the election.

The other key ambitions, based on the findings of a rapid review last year by former health minister and surgeon Lord Ara Darzi, are to move from analogue to digital, and from sickness to prevention.

In the most detailed announcement yet on the forthcoming 10 Year Health Plan, due to be published in full tomorrow, the prime minister said the moves represented a “brand-new era for the NHS”.

Under the plan, the so-called Neighbourhood Health Service will see pioneering teams, some based “entirely under one roof”, set up in local communities to “dramatically improve access” to the NHS.

Neighbourhood health centres will provide more convenient access to a “full range of healthcare services right on people’s doorsteps”, stopping lengthy trips to hospitals, said the government.

They will free up hospitals from “perpetual firefighting”, so they can focus on delivering “only the best, most cutting-edge, and personalised care”, it said in a statement published this evening.

The new health centres will house the neighbourhood teams, which will eventually be open 12 hours a day, six days a week within local communities, said the Department of Health and Social Care.

As well as bringing historically hospital-based health services into the community, like diagnostics and post-operative care, they may offer other services such as debt advice and employment support.

Meanwhile, the government said neighbourhood teams would include staff “like nurses, doctors, social care workers, pharmacists, health visitors, palliative care staff and paramedics”.

In addition, community health workers and volunteers would play a pivotal role in these teams, according to the statement.

Local areas would also be encouraged to trial innovative schemes like community outreach door-to-door – to detect early signs of illness and reduce pressure on other primary care services.

The government cited evidence that where neighbourhood health teams have been trialled in England, they have significantly reduced hospital use.

For example, in Derby, integrated teams led to 2,300 fewer Category 3 ambulance callouts and 1,400 fewer short hospital stays among the over 65 population within a year.

As well as the community NHS plans, the government’s announcement this evening set out more details on how it intends to achieve its ambitions to bring the health service “into the digital age”.

This will include, according to the government, rolling out “groundbreaking” new tools over the next two years to support GP practices, such as artificial intelligence (AI).

Examples cited by the government were AI scribes that will end the need for clinical notetaking, letter drafting, and manual data entry, to free up clinicians’ time to focus on treating patients.

It also said digital telephony would be introduced, so all calls to GP practices were answered quickly. For those who need it, they will get a digital or telephone consultation the same day they request it.

Other aspects of the plan have been trailed over recent days and weeks including using AI to improve patient safety, cuts to arms’-length bodies and creating emergency mental health departments.

Earlier today, Mr Streeting revealed a range of policies designed to appeal to student nurses and educators, including being able to start work more quickly after qualifying and speeding up expense payments.

Through its 10 Year Health Plan and by transforming care in the community, the government pledged that the majority of outpatient care would happen outside of hospitals by 2035.

In addition, it claimed new digital tools would allow GPs to refer patients quicker and a wider range of services on people’s doorsteps would mean less need to attend appointments in hospital.

Announcing the plans for community services and digital technology, prime minister Sir Keir Starmer warned that the NHS in England must “reform or die”.

“Our 10 Year Health Plan will fundamentally rewire and future-proof our NHS so that it puts care on people’s doorsteps, harnesses game-changing tech and prevents illness in the first place,” he said.

“That means giving everyone access to GPs, nurses, and wider support all under one roof in their neighbourhood – rebalancing our health system so that it fits around patients’ lives.”

However, the prime minister cautioned that the plan was “not an overnight fix”.

Health and social care secretary Wes Streeting added that the plan would “turn the NHS on its head, delivering one of the most fundamental changes in the way we receive our healthcare in history”.

“By shifting from hospital to community, we will finally bring down devastating hospital waiting lists and stop patients going from pillar to post to get treated,” he said.

Sir James Mackey, chief executive of NHS England, one of the major bodies facing the axe under the government reforms, backed the plans for more community-based services.

He said: “The Neighbourhood Health Service is a huge opportunity for us to transform how we deliver care over the next decade – starting right on people’s doorsteps.

“By bringing together a full range of clinicians as one team, we can deliver care that’s more accessible, convenient and better for patients, as well as reducing pressures on hospitals.”

Responding to the plans to introduce a neighbourhood health service, Royal College of Nursing general secretary and chief executive Professor Nicola Ranger highlighted the need for more nursing staff.

“A neighbourhood health service is a bold vision and it needs nursing staff in the driving seat,” said Professor Ranger.

“The prime minister must back up his plan with a clear one to turn around the shortage of nurses in all local communities,” she said.

“Moving care away from overcrowded hospitals is urgent and necessary but it will prove impossible whilst this part of the healthcare workforce is so depleted and undervalued.

“Crucial teams of district nursing and health visiting staff, who keep patients well and safe at home, have fallen by thousands in the last decade or more.”

She added: “A thriving community nursing workforce is the government’s best friend here and patients know that too.”

Matthew Taylor, chief executive of the NHS Confederation, which represents health service managers, said the plan was a “vital step towards a more preventative, community-based NHS”.

“Bringing care closer to people’s homes through blended neighbourhood health teams recognises the complex and interconnected challenges many patients face, and it is the right direction for both improving outcomes and alleviating pressure on hospitals,” he said.

But he added: “Delivering on this ambition will require sustained investment in digital and estates, support for the NHS’s workforce, and a commitment to decentralise national control by empowering local leaders.”

Mr Taylor also flagged that primary care networks and GP Federations were already working with partners to deliver joined up care in many areas, and these positive successes should be built upon.

Chief executive of NHS Providers, Daniel Elkeles, said the plan had the potential to be a “real gamechanger for the NHS”.

On technology, the Nuffield Trust’s director of research and policy, Dr Becks Fisher, said: “A better-connected digital NHS could address some of what patients find most difficult about health care.

“The risk is that some patients, without the money for data on their phones, or the skills to use the system, will be left behind. The NHS will always need to have a real front door too for those who need it most.

“Accessing clinicians digitally also carries the risk something will be missed that could have been spotted face to face: getting this right is difficult but crucial,” he said.

“The health service’s history shows that new technology often costs money, rather than saving it,” he said. “This doesn’t mean it is the wrong thing to do, but balancing sums based on the assumption of big savings.”



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