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NHS 10 Year Health Plan - overarching policy briefing | RCPCH

<!DOCTYPE html> <html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# "> <head> <meta charset="utf-8" /> <link rel="preconnect" href="https://fonts.gstatic.com/" crossorigin /> <link rel="preconnect" href="https://www.googletagmanager.com/" crossorigin /> <link rel="preconnect" href="https://www.google-analytics.com/" crossorigin /> <meta name="description" content="We call on all RCPCH members in England to input into the new 10 Year Health Plan for the NHS, both via the Change NHS Portal and through any Trust or regional opportunities. This is your opportunity to make the case for children and the child health workforce to be at the centre of plans for the NHS, and we need a strong collective voice to ensure they are not forgotten. In this briefing, we outline our four overarching recommendations to the Government: to prioritise children&#039;s health in national plans, to ensure fair funding, to make devolution to Integrated Care Systems work better and to support a sustainable workforce. We encourage members to use the evidence, key messages and recommendations provided here to support your own engagement on the 10 year plan." /> <link rel="canonical" href="https://www.rcpch.ac.uk/key-topics/nhs-ten-year-plan/policy-briefing" /> <link rel="image_src" href="/themes/rcpch/rcpch-full-logo.png" /> <meta property="og:site_name" content="RCPCH" /> <meta property="og:url" content="https://www.rcpch.ac.uk/key-topics/nhs-ten-year-plan/policy-briefing" /> <meta property="og:title" content="NHS 10 Year Health Plan - overarching policy briefing" /> <meta property="og:description" content="We call on all RCPCH members in England to input into the new 10 Year Health Plan for the NHS, both via the Change NHS Portal and through any Trust or regional opportunities. This is your opportunity to make the case for children and the child health workforce to be at the centre of plans for the NHS, and we need a strong collective voice to ensure they are not forgotten. In this briefing, we outline our four overarching recommendations to the Government: to prioritise children&#039;s health in national plans, to ensure fair funding, to make devolution to Integrated Care Systems work better and to support a sustainable workforce. We encourage members to use the evidence, key messages and recommendations provided here to support your own engagement on the 10 year plan." /> <meta property="og:image" content="https://www.rcpch.ac.uk/themes/rcpch/rcpch-full-logo.png" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:description" content="We call on all RCPCH members in England to input into the new 10 Year Health Plan for the NHS, both via the Change NHS Portal and through any Trust or regional opportunities. This is your opportunity to make the case for children and the child health workforce to be at the centre of plans for the NHS, and we need a strong collective voice to ensure they are not forgotten. In this briefing, we outline our four overarching recommendations to the Government: to prioritise children&#039;s health in national plans, to ensure fair funding, to make devolution to Integrated Care Systems work better and to support a sustainable workforce. We encourage members to use the evidence, key messages and recommendations provided here to support your own engagement on the 10 year plan." /> <meta name="twitter:title" content="NHS 10 Year Health Plan - overarching policy briefing" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <link rel="icon" href="/themes/rcpch/favicon.ico" type="image/vnd.microsoft.icon" /> <title>NHS 10 Year Health Plan - overarching policy briefing | RCPCH</title> <link href="https://fonts.googleapis.com/css?family=Libre+Baskerville:400,400i,700|Montserrat:400,700&amp;display=swap" rel="stylesheet"> <link rel="stylesheet" media="all" href="/sites/default/files/css/css_XWxkZU-GakBhGu3-qbw14MGyHRBHBvmGIarFXbyzkOc.css?delta=0&amp;language=en&amp;theme=rcpch&amp;include=eJx1UtG24yAI_CEbn_drPKjE2BpxgTSbv7-2zUk37e6L6AAyMIR8zyEQ3TIGqspUbPiCfplAjPb6e0HezLf_HymDoGquSUwEhQIbsvU4wT0TixHl3NC-zHD9AIxsojhbD4KvyrkqcoUyLDUiywMznkh7PDQ7Msy4Et_-wnTCGQ2HFiabCnkolyCyA0fYRUIvqHIO7HxW9CPxbHc7vKk_-UReWmcjCorfwWfYvUl9ISYRpYJOIdmk8_kJ6VSsMSVG2RkoeA--7PMpBLGz_kgf4Ap_TLhhzErsoCvEMVO1x20YucuFNZoam3sJKE6nzNE1YN3sf3Az9hYq9TbtcTPdA6l3NcnB-UC6cm3xJcuE0dwzrmKf5zBTXMqulEtYkaHYFbZGXXT5wHe7o4-t6L9rb8RNWFpfsafj8npcHrMWM5Y-jscxlFxv7jmT86_vdYhMLdJafwB8gza5" /> <link rel="stylesheet" media="all" href="/sites/default/files/css/css_a9X-PpEQZv7FZKgHp6JDRY3YkbjPBPVfDEmdJHdM1YM.css?delta=1&amp;language=en&amp;theme=rcpch&amp;include=eJx1UtG24yAI_CEbn_drPKjE2BpxgTSbv7-2zUk37e6L6AAyMIR8zyEQ3TIGqspUbPiCfplAjPb6e0HezLf_HymDoGquSUwEhQIbsvU4wT0TixHl3NC-zHD9AIxsojhbD4KvyrkqcoUyLDUiywMznkh7PDQ7Msy4Et_-wnTCGQ2HFiabCnkolyCyA0fYRUIvqHIO7HxW9CPxbHc7vKk_-UReWmcjCorfwWfYvUl9ISYRpYJOIdmk8_kJ6VSsMSVG2RkoeA--7PMpBLGz_kgf4Ap_TLhhzErsoCvEMVO1x20YucuFNZoam3sJKE6nzNE1YN3sf3Az9hYq9TbtcTPdA6l3NcnB-UC6cm3xJcuE0dwzrmKf5zBTXMqulEtYkaHYFbZGXXT5wHe7o4-t6L9rb8RNWFpfsafj8npcHrMWM5Y-jscxlFxv7jmT86_vdYhMLdJafwB8gza5" /> <link rel="stylesheet" media="all" href="/themes/rcpch/scss/css/style_1.css?sms0iq" /> <link rel="stylesheet" media="all" href="/themes/rcpch/scss/css/style_2.css?sms0iq" /> <link rel="stylesheet" media="all" href="/themes/rcpch/scss/css/style_3.css?sms0iq" /> <link rel="stylesheet" media="all" href="/themes/rcpch/scss/css/style_4.css?sms0iq" /> <!--[if IE 8]> <link rel="stylesheet" media="all" href="/themes/rcpch/scss/css/ie.css?s2qe3d" /> <![endif]--> <!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries --> <!--[if lt IE 9]> <script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script> <script src="https://oss.maxcdn.com/libs/respond.js/1.4.2/respond.min.js"></script> <script src="/themes/rcpch/js/jquery-1.12.4.min.js"></script> <script src="/themes/rcpch/js/jquery-2.1.1.once.min.js"></script> <![endif]--> </head> <body class="layout-one-sidebar layout-sidebar-second user-logged-out path-node node--type-document"> <a href="#main-content" class="visually-hidden focusable skip-link"> Skip to main content </a> <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-WHWGVBZ" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas> <div id="sb-site" class="body-inner"> <header id="page-header"> <div class="container"> <div class="row"> <div class="col-xs-6 col-sm-4 col-md-3"> <a class="logo" href="/" title="RCPCH Home" rel="Home"> <picture> <source srcset="/themes/rcpch/images/logo-desktop.svg" media="(min-width: 1181px)" /> <source srcset="/themes/rcpch/images/logo-mobile.svg" media="(min-width: 768px)" /> <source srcset="/themes/rcpch/images/logo-mobile.svg" media="(max-width: 767px)" /> <img src="/themes/rcpch/images/logo-desktop.png" alt="RCPCH Home"/> </picture> </a> </div> <div class="col-xs-6 col-sm-8 col-md-9 hidden-xs hidden-sm"> <div class="region region-header"> <nav class="block-headermenu"> <ul class="menu nav"> <li class="expanded dropdown"> <a href="/get-involved" title="Support our work in child health - 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from exploring the role of health play specialists and navigating medical complexity to helping protect paediatricians’ mental health and wellbeing.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/membership/milestones-magazine" class="milestones-magazine">Milestones</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-10170"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2021-09/Volunteering%20opportunities%20social%20sharing%20400%20x%20400.png?itok=UU8GPUlz" width="315" height="157" alt="small colourful arrows on a chalk board being led by a larger yellow arrow" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Get involved</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We invite members to apply for a role on one of our committees or working groups - 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Many are hosted online.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/education-careers/courses/rcpch-course" class="our-upcoming-courses">Upcoming courses</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-8"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/work-we-do" aria-expanded="false" id="megamenu-work-we-do16" aria-controls="megamenu-sub-work-we-do15" data-drupal-link-system-path="node/425">Work we do</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-9 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-work-we-do"> <h2 class="visually-hidden">Submenu work we do</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/rcpch-strategy-2024-27"><span>RCPCH strategy</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/british-paediatric-surveillance-unit"><span>British Paediatric Surveillance Unit</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits" class="has-children"><span>Clinical audits</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/child-protection-service-delivery-standards"><span>Child Protection Service Delivery Standards</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/epilepsy12"><span>Epilepsy12 Audit</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/nnap"><span>National Neonatal Audit Programme</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/npda"><span>National Paediatric Diabetes Audit</span></a> </li> <li class="expanded dropdown"> <a href="/resources/pghan-national-census-2021"><span>Paediatric Gastroenterology, Hepatology and Nutrition Audit</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/work-we-do/equality-diversity-inclusion"><span>Equality, diversity and inclusion</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/global-child-health"><span>Global child health</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/public-affairs"><span>Public affairs</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/QI-patient-safety" class="has-children"><span>Quality improvement and patient safety</span></a> <button class="hidden-lg fa fa-angle-down 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planning</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15647"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-10/group-of-young-people-in-ring-looking-down-smiling-strategy.jpg?itok=dkw33jZm" width="315" height="157" alt="Group of young people in a ring looking down and smiling" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Our College strategy</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Covering the next three years and with four strategic goals, our strategy aims to meet our members&#039; priorities to support their working lives and be a powerful advocate for children and young people.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/work-we-do/rcpch-strategy-2024-27" class="our-college-strategy">Strategy</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-5"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/resources" aria-expanded="false" id="megamenu-resources4" aria-controls="megamenu-sub-resources18" data-drupal-link-system-path="node/107">Resources</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-6 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-resources"> <h2 class="visually-hidden">Submenu resources</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/resources/all-resources" class="has-children"><span>All resources</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/resources/consultation-responses"><span>Consultation responses</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/resources/clinical-guidelines"><span>Clinical guidelines</span></a> </li> <li class="expanded dropdown"> <a href="/resources/engaging-children-young-people"><span>Engaging children and young people</span></a> </li> <li class="expanded dropdown"> <a href="/resources/external-second-opinions"><span>External second opinions</span></a> </li> <li class="expanded dropdown"> <a href="/resources/facing-future-standards-paediatric-care"><span>Facing the Future service standards</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/resources/growth-charts"><span>Growth charts</span></a> </li> <li class="expanded dropdown"> <a href="/resources/journals"><span>Journals</span></a> </li> <li class="expanded dropdown"> <a href="/resources/medicines"><span>Medicines resources</span></a> </li> <li class="expanded dropdown"> <a href="/resources/rcpch-archive"><span>RCPCH archive</span></a> </li> <li class="expanded dropdown"> <a href="/resources/research-funding-opportunities"><span>Research funding opportunities</span></a> </li> <li class="expanded dropdown"> <a href="/resources/transition-adult-services"><span>Transition to adult services</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-10839"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2022-02/medicines.png?itok=6Fd-s1Bx" width="315" height="157" alt="giving medicine to children" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Discharge and medication safety</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We have six recommendations to improve the safety of liquid medicines during the transition from hospital to home care. </div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/management-unlicensed-liquid-medicines-recommendations" class="discharge-and-medication-safety">Medication safety guideline</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15560"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-09/thrive-graphic-news.png?itok=AkcTgF0X" width="315" height="157" alt="Icon - hands holding a heart with a medical cross inside" title="Thrive Paediatrics" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Thrive Paediatrics resource hub</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Especially for members, our new hub offers evidence and good practice examples in wellbeing, plus stories from paediatricians&#039; lived experience.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/thrive-resource-hub" class="thrive-paediatrics-resource-hub">Resource hub</a></div> </div> </div></div> </div> </div> </li> <li class="is-active mega-menu--item link-2"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/key-topics" aria-expanded="false" id="megamenu-key-topics19" aria-controls="megamenu-sub-key-topics15" data-drupal-link-system-path="key-topics">Key topics</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-6 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-key-topics"> <h2 class="visually-hidden">Submenu key topics</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/key-topics/air-pollution"><span>Air pollution companion</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-health-inequalities-climate-change"><span>Child health inequalities and climate change</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-health-inequalities-poverty"><span>Child health inequalities and poverty</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-mental-health"><span>Child mental health</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-protection"><span>Child protection and safeguarding</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/climate-change"><span>Climate change</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/key-topics/genomics"><span>Genomics</span></a> </li> <li class="expanded dropdown active"> <a href="/key-topics/nhs-ten-year-plan"><span>NHS 10 Year Health Plan</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/nutrition-obesity"><span>Nutrition and obesity</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/prevention-ill-health"><span>Prevention of ill health</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/winter-planning"><span>Winter planning</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/your-wellbeing"><span>Your wellbeing</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15800"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-11/shutterstock_2018424023-infant-in-adults-arms.jpg?itok=ieopY5Fp" width="315" height="157" alt="Small baby, being held by adult wearing scrubs and mask" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">10 Year Health Plan for the NHS</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We want to ensure children and young people are at the centre of the Government&#039;s plan. Our briefings outline our recommendations and how members in England can input.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/key-topics/nhs-ten-year-plan" class="_0-year-health-plan-for-the-nhs">Briefings</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15574"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-09/Air-pollution-news.png?itok=pwuHqICR" width="315" height="157" alt="Repeated icons - children playing under cloud" title="Air pollution" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Air Pollution Companion</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Learn about air pollution and child health, with sections to help build your knowledge, talk to patients and advocate for change. Plus how to join a clean air community and explore clean air clinics.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/key-topics/air-pollution" class="air-pollution-companion">Companion</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-6"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/news-events" aria-expanded="false" id="megamenu-news-and-events9" aria-controls="megamenu-sub-news-and-events4" data-drupal-link-system-path="node/137">News and events</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-3 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-news-events"> <h2 class="visually-hidden">Submenu news and events</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/news-events/news"><span>News</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/president-updates"><span>President&#039;s updates</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/podcasts"><span>Podcasts</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/events"><span>Events</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/rcpch-conference"><span>RCPCH Conference</span></a> </li> <li class="expanded dropdown"> <a href="https://roombookings.rcpch.ac.uk"><span>Meeting room hire</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15040"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-05/steve_turner-org-yellow_1.jpg?itok=Fdf_wNaX" width="315" height="157" alt="Professor Steve Turner, RCPCH President" title="Professor Steve Turner, RCPCH President" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">From Professor Steve Turner...</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">As RCPCH President, Steve shares regular updates with members by email and on this website - such as his regular feature on #WDYCD4Y: What Does Your College Do For You.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/president-updates" class="from-professor-steve-turner">President&#039;s updates</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-13027"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2023-04/many-vapes-pink-news-pages-16x9-shutterstock_2058505280-.jpg?itok=AERWn478" width="315" height="157" alt="Many vapes scattered on a pink background" title="Many vapes, scattered" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">We urge MPs to back Tobacco &amp; Vapes Bill</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Ahead of its second reading, RCPCH and six medical organisations are asking all MPs to work together and create a smoke-free generation.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/news/organisations-representing-850000-healthcare-professionals-urge-mps-back-tobacco" class="we-urge-mps-to-back-tobacco--vapes-bill">Joint letter</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15339"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-07/conf25_website-sidebar.png?itok=NpLNKkCD" width="315" height="157" alt="Repeated dynamic child in a circle icon " title="RCPCH Conference 2025" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">RCPCH Conference 2025</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We&#039;ve started preparing for next year&#039;s big event, which takes place from 26 to 28 March in Glasgow and online. And early bird tickets are now available, so you can book between now and 3 February for 15% off.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/rcpch-conference" class="rcpch-conference-2025">About Conference</a></div> </div> </div></div> </div> </div> </li> </ul> </section> </div> </div> <div class="slide-content"> <div class="region region-mobile-header"> <section class="block-userdropdownmenu-2 block block-rcpch-general block-user-menu"> <div class="quick-links-dropdown"> <button class="btn btn-default quick-links-dropdown-desktop dropdown-toggle" id="quick-links" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">Quick links<span class="caret"></span></button> <button class="hidden-lg btn fa fa-angle-down quick-links-dropdown-tablet btn-default dropdown-toggle" id="quick-links" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">Quick links</button> <ul class="dropdown-menu" aria-labelledby="quick-links"><li class="hidden-xs hidden-sm hidden-md"><a href="/saml_login" target="_blank">Log in</a></li><li class="hidden-xs hidden-sm hidden-md"><a href="/user/signup" target="_blank">Register</a></li><li role="separator" class="divider"></li><li><a href="/education-careers/examinations" target="_blank">Exams</a></li><li><a href="http://www.eportfolio.rcpch.ac.uk" target="_blank">ePortfolio</a></li><li><a href="http://www.eportfolio.rcpch.ac.uk/" target="_blank">CPD Diary</a></li><li><a href="http://learning.rcpch.ac.uk/" target="_blank">RCPCH Learning</a></li><li><a href="https://childprotection.rcpch.ac.uk/" target="_blank">Child Protection Portal</a></li><li><a href="https://adc.bmj.com/content/current" target="_blank">Archives of Disease in Childhood</a></li><li><a href="https://bmjpaedsopen.bmj.com/" target="_blank">BMJ Paediatrics Open</a></li><li><a href="/membership/committees" target="_blank">RCPCH Committees</a></li></ul></div> </section> <nav class="block-headermenu-2"> <ul class="menu nav"> <li class="expanded dropdown"> <a href="/get-involved" title="Support our work in child health - 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from exploring the role of health play specialists and navigating medical complexity to helping protect paediatricians’ mental health and wellbeing.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/membership/milestones-magazine" class="milestones-magazine">Milestones</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-10170"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2021-09/Volunteering%20opportunities%20social%20sharing%20400%20x%20400.png?itok=UU8GPUlz" width="315" height="157" alt="small colourful arrows on a chalk board being led by a larger yellow arrow" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Get involved</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We invite members to apply for a role on one of our committees or working groups - you can advocate for your fellow trainees, support paediatric training or review child protection evidence, and more!</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/membership/get-involved-college-roles" class="get-involved">Opportunities</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-4"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/education-careers" aria-expanded="false" id="megamenu-education-and-careers15" aria-controls="megamenu-sub-education-and-careers12" data-drupal-link-system-path="node/115">Education and careers</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-9 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-education"> <h2 class="visually-hidden">Submenu education</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/education-careers/choose-paediatrics"><span>Choose paediatrics</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics" class="has-children"><span>Apply to paediatrics</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics/ST1"><span>ST1 training</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics/ST3"><span>ST3 training</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics/sub-specialties"><span>Sub-specialties</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/education-careers/lifelong-careers"><span>Lifelong careers</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/examinations" class="has-children"><span>Examinations - 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Many are hosted online.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/education-careers/courses/rcpch-course" class="our-upcoming-courses">Upcoming courses</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-8"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/work-we-do" aria-expanded="false" id="megamenu-work-we-do16" aria-controls="megamenu-sub-work-we-do15" data-drupal-link-system-path="node/425">Work we do</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-9 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-work-we-do"> <h2 class="visually-hidden">Submenu work we do</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/rcpch-strategy-2024-27"><span>RCPCH strategy</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/british-paediatric-surveillance-unit"><span>British Paediatric Surveillance Unit</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits" class="has-children"><span>Clinical audits</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/child-protection-service-delivery-standards"><span>Child Protection Service Delivery Standards</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/epilepsy12"><span>Epilepsy12 Audit</span></a> </li> <li class="expanded dropdown"> <a 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field--label-hidden field--item">We have six recommendations to improve the safety of liquid medicines during the transition from hospital to home care. </div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/management-unlicensed-liquid-medicines-recommendations" class="discharge-and-medication-safety">Medication safety guideline</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15560"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-09/thrive-graphic-news.png?itok=AkcTgF0X" width="315" height="157" alt="Icon - hands holding a heart with a medical cross inside" title="Thrive Paediatrics" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Thrive Paediatrics resource hub</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Especially for members, our new hub offers evidence and good practice examples in wellbeing, plus stories from paediatricians&#039; lived experience.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/thrive-resource-hub" class="thrive-paediatrics-resource-hub">Resource hub</a></div> </div> </div></div> </div> </div> </li> <li class="is-active mega-menu--item link-2"> <button class="hidden-lg fa 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height="157" alt="Small baby, being held by adult wearing scrubs and mask" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">10 Year Health Plan for the NHS</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We want to ensure children and young people are at the centre of the Government&#039;s plan. Our briefings outline our recommendations and how members in England can input.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/key-topics/nhs-ten-year-plan" class="_0-year-health-plan-for-the-nhs">Briefings</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15574"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-09/Air-pollution-news.png?itok=pwuHqICR" width="315" height="157" alt="Repeated icons - children playing under cloud" title="Air pollution" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Air Pollution Companion</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Learn about air pollution and child health, with sections to help build your knowledge, talk to patients and advocate for change. Plus how to join a clean air community and explore clean air clinics.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/key-topics/air-pollution" class="air-pollution-companion">Companion</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-6"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/news-events" aria-expanded="false" id="megamenu-news-and-events9" aria-controls="megamenu-sub-news-and-events4" data-drupal-link-system-path="node/137">News and events</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-3 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-news-events"> <h2 class="visually-hidden">Submenu news and events</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/news-events/news"><span>News</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/president-updates"><span>President&#039;s updates</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/podcasts"><span>Podcasts</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/events"><span>Events</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/rcpch-conference"><span>RCPCH Conference</span></a> </li> <li class="expanded dropdown"> <a href="https://roombookings.rcpch.ac.uk"><span>Meeting room hire</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15040"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-05/steve_turner-org-yellow_1.jpg?itok=Fdf_wNaX" width="315" height="157" alt="Professor Steve Turner, RCPCH President" title="Professor Steve Turner, RCPCH President" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">From Professor Steve Turner...</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">As RCPCH President, Steve shares regular updates with members by email and on this website - such as his regular feature on #WDYCD4Y: What Does Your College Do For You.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/president-updates" class="from-professor-steve-turner">President&#039;s updates</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-13027"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2023-04/many-vapes-pink-news-pages-16x9-shutterstock_2058505280-.jpg?itok=AERWn478" width="315" height="157" alt="Many vapes scattered on a pink background" title="Many vapes, scattered" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">We urge MPs to back Tobacco &amp; Vapes Bill</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Ahead of its second reading, RCPCH and six medical organisations are asking all MPs to work together and create a smoke-free generation.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/news/organisations-representing-850000-healthcare-professionals-urge-mps-back-tobacco" class="we-urge-mps-to-back-tobacco--vapes-bill">Joint letter</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15339"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-07/conf25_website-sidebar.png?itok=NpLNKkCD" width="315" height="157" alt="Repeated dynamic child in a circle icon " title="RCPCH Conference 2025" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">RCPCH Conference 2025</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We&#039;ve started preparing for next year&#039;s big event, which takes place from 26 to 28 March in Glasgow and online. And early bird tickets are now available, so you can book between now and 3 February for 15% off.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/rcpch-conference" class="rcpch-conference-2025">About Conference</a></div> </div> </div></div> </div> </div> </li> </ul> </section> </div> </nav> </div> </header> <div id="content-top" class="top-container"> <div class="container"> <div class="region region-content-top"> <div data-drupal-messages-fallback class="hidden"></div> <ol class="breadcrumb"> <li > <a href="/">Home</a> </li> <li > <a href="/key-topics">Key topics</a> </li> <li > <a href="/key-topics/nhs-ten-year-plan">NHS 10 Year Health Plan</a> </li> </ol> </div> </div> </div> <div class="main-container content-container"> <div class="container"> <div class="row"> <section class="main-content-column col-sm-8"> <div id="main-content"></div> <div class="region region-content"> <h1 class="page-header"> <span>NHS 10 Year Health Plan - overarching policy briefing</span> </h1> <div class="full-page-content node-document "> <div class="user-and-links"> <div class="field--bundle-author field field--name-field-sh-author field--type-entity-reference-revisions field--label-hidden field--item"><div class="paragraph paragraph--type-author paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-field-au-author-link field--type-entity-reference field--label-hidden field--item"><div class="node node--type-team-profile node--view-mode-author ds-1col clearfix"> <div class="field field--name-field-tp-logo field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-author media-image-14441"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/author_50x50/public/2023-12/icon_rcpch-dynamic-child-aqua-180-px.png?itok=LxNa0_ME" width="50" height="50" alt="Icon: Dynamic child from RCPCH logo" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-node-title field--type-ds field--label-hidden field--item"> <a href="/about-us/our-team/health-policy-team" hreflang="en">Health Policy team</a> </div> </div> </div> </div> </div> </div> <div class="print__wrapper print__wrapper--pdf form-group"><a href="/print/pdf/node/6482" class="print__link print__link--pdf" target="_blank">Save as PDF</a></div> </div> <div class="intro-text clearfix"> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We call on all RCPCH members in England to input into the new 10 Year Health Plan for the NHS, both via the Change NHS Portal and through any Trust or regional opportunities. This is your opportunity to make the case for children and the child health workforce to be at the centre of plans for the NHS, and we need a strong collective voice to ensure they are not forgotten.<br /> <br /> In this briefing, we outline our four overarching recommendations to the Government: to prioritise children&#039;s health in national plans, to ensure fair funding, to make devolution to Integrated Care Systems work better and to support a sustainable workforce.<br /> <br /> We encourage members to use the evidence, key messages and recommendations provided here to support your own engagement on the 10 year plan. <br /> </div> </div> <div class="gray-box"> <div class="field field--name-node-changed-date field--type-ds field--label-inline"> <div class="field--label">Last modified</div> <div class="field--item">22 November 2024</div> </div> <div class="field field--name-node-post-date field--type-ds field--label-inline"> <div class="field--label">Post date</div> <div class="field--item">8 November 2024</div> </div> </div> <div class="body-box"> <div class="field field--name-table-of-contents field--type-ds field--label-above"> <div class="field--label">Table of contents</div> <div class="field--item"><ul><li><a href="#what-is-the-10-year-health-plan" class="smooth-scroll">What is the 10 Year Health Plan?</a></li><li><a href="#what-members-can-do" class="smooth-scroll">What members can do</a></li><li><a href="#why-we-need-change-–-the-evidence-and-key-messages" class="smooth-scroll">Why we need change – the evidence and key messages</a></li><li><a href="#what-needs-to-change---rcpch-priorities" class="smooth-scroll">What needs to change - RCPCH priorities</a></li></ul></div> </div> <div class="field field--name-table-of-contents-sidebar field--type-ds field--label-above"> <div class="field--label">Contents</div> <div class="field--item"><ul><li><a href="#what-is-the-10-year-health-plan" class="smooth-scroll">What is the 10 Year Health Plan?</a></li><li><a href="#what-members-can-do" class="smooth-scroll">What members can do</a></li><li><a href="#why-we-need-change-–-the-evidence-and-key-messages" class="smooth-scroll">Why we need change – the evidence and key messages</a></li><li><a href="#what-needs-to-change---rcpch-priorities" class="smooth-scroll">What needs to change - RCPCH priorities</a></li></ul></div> </div> <div class="field field--name-field-sh-body field--type-text-long field--label-hidden field--item"><h2 id="what-is-the-10-year-health-plan">What is the 10 Year Health Plan?</h2> <p>In October 2024, the UK Government announced a new ‘10 Year Health Plan’ for the NHS in England and launched a major public engagement initiative to help shape it. The Prime Minister set out the government’s intention for this to be ‘the biggest national conversation about the future of the NHS since its birth.’</p> <p>Members of the public and everyone who works in health services in England are invited to contribute through the online portal, Change NHS, as well as through local and Trust-based ‘deliberative events’.</p> <p>The 10 Year Health Plan is focused on making the NHS fit for the future, and follows findings from the <a href="/news-events/news/rcpch-responds-darzi-review">Darzi Independent Review of the NHS</a> which laid bare the challenges for health services, including worsening child health outcomes and increased pressures across paediatric services.</p> <p>As well as overarching questions about what is working well and what needs to change in order to deliver better care and reduce waiting times, the Plan will be underlined by ‘three big shifts in healthcare’. On 21 November 2024, we published a briefing on each of these shifts:</p> <ul><li><a href="/key-topics/nhs-ten-year-plan/community-shift-briefing">Moving more care from hospitals to communities</a></li> <li><a href="/key-topics/nhs-ten-year-plan/better-use-technology-shift-briefing">Making better use of technology in health and care</a></li> <li><a href="/key-topics/nhs-ten-year-plan/preventing-sickness-shift-briefing">Focusing on preventing sickness, not just treating it</a></li> </ul><h2 id="what-members-can-do">What members can do</h2> <p>Far too often, major national health policy is adult-focused, with children and child health services either an afterthought or entirely forgotten. The upcoming 10 Year Health Plan is a significant opportunity for change, and we want to ensure that children are at the centre of the Plan.</p> <p>We are calling on all RCPCH members in England to engage whenever possible: to take up any Trust or regional opportunities and to spend a few minutes filling in the Change NHS portal. This is your opportunity to make the case for the direction of health services over the next ten years, and to ensure children and the child health workforce are fully considered.</p> <p>The Change NHS portal includes specific questions about what is working well in the NHS, the biggest challenges, your personal experiences and questions about each of the three shifts. It also has a section to submit your overarching ideas for change.</p> <ul></ul><p>The College is publishing: </p> <ul><li>this briefing with overarching policy recommendations</li> <li>separate briefings for each of the key shifts with key messages, recommendations and evidence - see <a href="/key-topics/nhs-ten-year-plan/community-shift-briefing">A community shift that works for children</a>, <a href="/key-topics/nhs-ten-year-plan/better-use-technology-shift-briefing">Making better use of technology in health and care</a> and <a href="/key-topics/nhs-ten-year-plan/preventing-sickness-shift-briefing">Focusing on preventing sickness, not just treating it</a></li> <li>a ‘top tips for engagement’ resource - coming soon</li> <li>example ‘ideas for change’ from RCPCH Officers - look out for videos on our social channels, including <a href="https://x.com/rcpchtweets">X</a>, <a href="https://www.linkedin.com/company/royal-college-of-paediatrics-and-child-health">LInkedIn</a> and <a href="https://www.instagram.com/rcpch">Instagram</a>.</li> </ul><p><strong>We would love to see the Change NHS portal flooded with suggestions related to children’s health! Please look at our key messages and recommendations, and add your voice to <a href="https://change.nhs.uk/en-GB/">Change NHS</a>.</strong></p> <h2 id="why-we-need-change-–-the-evidence-and-key-messages">Why we need change – the evidence and key messages</h2> <dl class="ckeditor-accordion"><dt>Child health outcomes have worsened and demand for health services has increased due to preventable and non-preventable causes of childhood illness</dt> <dd> <p>These include: </p> <ul><li><strong>Respiratory illness </strong>- Around one in 11 children live with asthma, and the UK has one of the highest rates of emergency admission for childhood asthma. </li> <li><strong>Medical complexity </strong>- There has been an increase in the number of children with multiple conditions and life-limiting conditions, including a 250% rise in the prevalence of life-limiting and life-threatening conditions in childhood between 2001 and 2018.</li> <li><strong>Obesity </strong>- Two and a half million children in England are affected by excess weight and obesity, and 1.2 million are living with complications from obesity. 23.4% of Year 6 children were obese in 2021/22, 80% of whom are predicted to remain obese as adults.</li> <li><strong>Mental health </strong>- Almost one in five (18%) children aged 7-17 now has a probable mental disorder, a 50% increase from one in nine (12%) in 2017.</li> </ul></dd> <dt>The gap between demand and service capacity has widened</dt> <dd> <p>While the paediatric waiting list has increased by 166,740 patients since 2020, there are just 462 more paediatric consultants: a 67% increase in patients waiting for care versus a 15% increase in consultants.</p> <p>Four-fifths of members who responded to our <a href="/news-events/news/three-quarters-paediatricians-already-seeing-children-negatively-impacted-long">recent survey</a> stated that there is no longer the appropriate level of capacity to meet local demand for child health services.</p> </dd> <dt>Underinvestment in children’s health</dt> <dd> <p>Children and young people make up around a quarter of the population and are high users of health services but receive just 11% of health funding. This inequity is even clearer in mental health spending, where only 8% of ICB funding for mental health care is allocated to children and young people, despite the high levels of need</p> <p>This is not equitable based on population split or demand for services. </p> </dd> <dt>Children are now waiting longer than adults to access healthcare</dt> <dd> <p>The number of children waiting for over 52 weeks for an appointment increased by 60% for elective paediatric services, and 94% for community health services in just two years. Over 50,000 children are waiting for more than a year.</p> </dd> <dt>Long waits for care can be harmful for any patient but are particularly damaging for children and young people</dt> <dd> <p>Many interventions need to be given by a particular age or developmental stage, and year-long delays for surgery, speech and language therapy or paediatric input can be irreversible for children.</p> </dd> <dt>Investment in child health services offers significant return</dt> <dd> <p>It provides both long term returns (cost savings across the life course) and cross-sector returns (saving money in school absence, mental health, youth justice, labour market inactivity as well as within the health system).</p> <p>Investing in children’s health now is vital for the future economic wellbeing and health of the country.</p> </dd> </dl><h2 id="what-needs-to-change---rcpch-priorities">What needs to change - RCPCH priorities</h2> <p>Paediatricians and the wider child health workforce are working hard to deliver safe and high-quality services for children and to implement innovative models of care. But they cannot do this alone. <strong>We need a rebalancing of the health system so there is a greater focus on meeting the needs of children and young people.</strong></p> <p>This is partly a call for equity: it is unacceptable that children’s health services have been deprioritised and underfunded compared to adult care. It is also good economic sense: investing in children’s health offers high economic returns and is essential if we want to have a healthy nation.</p> <p>While RCPCH supports the proposed shifts from hospital to community, analogue to digital, and towards prevention, there are some foundational changes that need to be put in place to ensure the NHS as a whole works better for children. Without these, child health services will not meaningfully benefit from any of the proposed shifts.</p> <p>RCPCH is calling on the Government to implement the following recommendations: </p> <h3 id="_-prioritise-children’s-health-in-national-plans">1. Prioritise children’s health in national plans</h3> <ul><li><strong>Children, young people and child health services must be specifically considered throughout the 10 Year Plan</strong>, including in proposals for each of the three shifts. The Plan must recognise that children have distinct needs, interact with the health system differently and often encounter a wider range of than adults. </li> <li><strong>Rebalance away from acute metrics</strong> against which systems have historically been assessed, towards metrics which consider community provision, holistic care, and health outcomes. While we accept the need for a reduction in the overall number of targets, there should nevertheless be clear metrics which capture how services and ICBs are meeting the physical and mental health needs of children and young people.</li> <li><strong>National prioritisation categories and risk frameworks must take into account the differential risks experienced by CYP (children and young people)</strong>, including the impact of long waits on children’s healthy development and ability to participate in education.</li> </ul><h3 id="_-ensure-fair-funding-for-children">2. Ensure fair funding for children</h3> <ul><li><strong>Introduce a Children’s Health Investment Standard</strong> to address the investment gap between child and adult health services. Similar to the Mental Health Investment Standard, this would require ICBs to increase their spending on children’s health services at a faster rate than their spending on other services, and gradually move towards more equitable service funding.</li> </ul><h3 id="_-make-devolution-to-integrated-care-systems-work-better-for-children">3. Make devolution to Integrated Care Systems work better for children</h3> <ul><li><strong>Establish clear national oversight of Integrated Care System </strong>performance for children and young people.</li> <li><strong>Set clearer expectations for Integrated Care Systems through a CYP waiting times standard</strong>, and offer dedicated support and guidance to Integrated Care Boards to tackle long waits in childhood and ensure no child is left waiting for over 18 weeks for care.</li> </ul><h3 id="_-support-a-sustainable-child-health-workforce">4. Support a sustainable child health workforce</h3> <ul><li><strong>Review the modelling on children’s health which underpins the NHSE Long Term Workforce Plan</strong>. Investment in the workforce should be evidence-based and fair, and should consider the increased demand and complexity of child health.</li> <li><strong>Develop a national child health workforce strategy</strong> which takes a whole system approach to recruitment and retention.</li> <li><strong>Commit to expanding training places for paediatricians and the wider child health workforce</strong>, with a focus on the community child health workforce.</li> </ul><p>Our <a href="/resources/transforming-child-health-services-england-blueprint">Blueprint for transforming child health services</a>, published in September 2024, sets out these recommendations and the evidence for them in more detail.</p> </div> </div> <div class="tags"> <div class="field field--name-dynamic-block-fieldnode-node-terms field--type-ds field--label-hidden field--item"><div class="views-element-container form-group"><div class="view view-node-terms view-id-node_terms view-display-id-node_terms 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