The government has published its 10-Year Health Plan, outlining an ambitious transformation of the National Health Service in England into a fully digital, patient-focused service.
At the heart of the 168-page Fit for the Future strategy is an ambition to make the NHS “digital by default,” moving away from analogue systems and hospital-based models toward tech-enabled, community-based, and preventative care. 
“This plan will take the NHS from the 20th-century technological laggard it is today, to the 21st-century leader it has the potential to be,” according to the executive summary.
One of the plan’s centrepieces is the evolution of the NHS App into a universal gateway for healthcare access - described by Health Secretary Wes Streeting as a “doctor in your pocket.”
The upgraded app will allow patients to book, cancel, and manage appointments, access records, and receive AI-powered guidance for non-urgent care. The goal is to make the NHS “the most digitally accessible health system in the world.”
“The 10-Year Health Plan will keep every patient fully informed of their healthcare and make using the NHS as easy and convenient as doing your banking or shopping online,” Streeting said.
A national Single Patient Record system is set to be introduced, allowing patients to stop repeating their medical histories across multiple care settings. The system will be secure, patient-controlled, and interoperable across primary, secondary, and community care.
This change, combined with digital triage and AI-driven diagnostics, aims to replace up to two-thirds of outpatient appointments - cutting into the £14 billion the NHS currently spends on them each year.
The plan also includes changes to internal NHS operations, including:
- Single sign-on systems to reduce time spent accessing various platforms
- AI scribes to automate note-taking during consultations
- Integrated communication tools for faster collaboration among care teams
These tools are designed to ease administrative burdens and free up clinical time—critical as the NHS continues to face workforce pressures.