Observations The Future of the NHS

The NHS Five Year Forward View: implications for clinicians

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g6518 (Published 31 October 2014) Cite this as: BMJ 2014;349:g6518
  1. Mahiben Maruthappu, senior fellow, Chair and Chief Executive’s Office, NHS England,
  2. Harpreet S Sood, senior fellow, Chair and Chief Executive’s Office, NHS England,
  3. Bruce Keogh, national medical director, NHS England

The Five Year Forward View is a look at what the NHS could achieve, given the range of resources that may be available. It sets out how the health service needs to change, arguing for a more engaged relationship with patients, carers, and citizens to promote wellbeing and prevent ill health. Here, we outline how the Forward View supports clinicians to provide better, higher quality and more integrated care.

New models of care are presented, including multispecialty providers, primary and acute care systems, urgent and emergency care networks, viable smaller hospitals, specialised services, modern maternity services, and enhanced care homes. The commitments to support clinicians are discussed, including specific proposals for primary care, initiatives to improve the health of NHS staff, dealing with gaps in the NHS workforce, and the use of technology and innovation to further enable clinicians.

The Five Year Forward View sets out how England’s health service needs to change. Mahiben Maruthappu, Harpreet S Sood, and Bruce Keogh describe how the report’s proposals support clinicians in providing better, higher quality, and more integrated care


  • Competing interests: None declared.

  • Provenance and peer review: Commissioned; externally peer reviewed.

View Full Text

Log in

Log in through your institution


* For online subscription