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NHS Sets Three-Year Reset to Cut Waits With Payments to Move Care Into Community

The roadmap targets 2.5 million fewer long waits by 2029 with 85% of cancer patients starting treatment within two months.

Overview

  • NHS England has moved to a three-year Medium Term Planning Framework to give local leaders greater certainty over funding and delivery.
  • Hospitals will receive financial incentives to treat more patients in community settings such as diagnostic centres and neighborhood teams to free hospital capacity.
  • New standards include 80% of community health activity completed within 18 weeks and a consultation on same‑day GP access for clinically urgent cases.
  • Urgent and emergency care will shift to a digital‑first model, with 95% of post‑triage appointments available via the NHS App and local plans due from 2026/27.
  • Productivity steps will cut unnecessary follow‑ups and scans via i‑Refer, while independent providers report 6.15 million NHS activities and early waiting‑list reductions are reported alongside warnings about digital exclusion.