Five Year Plan (Long Term Plan) Update

Over the next five years, health and care services will develop to offer you even more exceptional care. We want people in Bristol, North Somerset and South Gloucestershire to have happy childhoods and productive lives and to stay healthy and independent for longer.

Healthier Together is a group of health organisations and local authorities working in partnership to improve wellbeing and join up care. While we remain separate organisations we want to combine resources to meet the challenges of the 21st century.

Local people have been telling us what is most important; including a Citizens' Panel of 1,000 people who contribute regularly, a ‘call for evidence’ last Autumn which yielded dozens of local contributions, and a conference in October attended by 300 people.

Building on this feedback our focus is on prevention, being proactive and tailoring support to your needs.  By 2024 our ambition is to have a thriving, integrated health and care system that helps you actively support your own wellbeing. Services will work together, with you at the centre. The community will be the favoured place for care and hospital services will be available when needed.

These are transformational changes to the way we think about health, the services we offer and how we train and support staff. How we intend to meet this challenge will be set out in our local Five Year Plan, which we intend to publish in March this year.

We will share the Five Year Plan at a series of face-to-face public and staff engagement events using printed, video, and online materials to help bring our ambitious local plan to life. This will follow the release of the national NHS Long Term Plan Implementation Plan, which is due for publication in March.

To find out more about the NHS Long Term Plan click here, or to find out how you can get involved locally click here.



Future of healthcare in the region under the spotlight at Bristol conference

The ‘Healthier Together’ Conference took place on Thursday 17 October at Ashton Gate Stadium and provided attendees with an opportunity to hear about the vision for healthcare in Bristol, North Somerset and South Gloucestershire and to feed back their ideas on plans as they are drawn up.

The day featured a number of talks and presentations including an overview of some of the health and care issues we’re tackling, our developing five year system plan and an inspirational talk from Happy City, Chief Executive, Liz Zeidler, on the importance of well-being in everyone’s lives.

There was also a number of interactive workshops, with delegates able to join in lively discussions and share their views on mental health and well-being; personalisation and shared decision-making, prevention and self-care; digital transformation, primary care; and urgent care.

Joint Executive Lead for the Healthier Together Partnership and Chief Executive of Bristol, North Somerset and South Gloucestershire (BNSSG) Clinical Commissioning Group (CCG), Julia Ross, said:

“It has been fantastic to get so many people in the room talking about what matters most to them. More than 200 people, including members of the public, elected members, representatives of third sector organisations and partner organisations, attended the event and there was such a fantastic energy in the room.

“Everyone has been really focused on how we can make health and social care fit for the 21st Century and of course for the future. The workshops were focused on just some of our current programmes of work; we’ve presented what we have done to date and asked people what they think; getting their feedback and input so, as we go through to write the plans, it can properly reflect the range of views of our population.

“Of course, this is just part of the conversation, and we will continue to talk to people and gather views from as many people as possible as our plans develop.”

Healthier Together is our Bristol, North Somerset and South Gloucestershire (BNSSG) Sustainability and Transformation Partnership (STP). It comprises 11 local health and care organisations, working together to develop long term plans for healthcare in the region. The views of the public, patients and staff form a significant role in shaping our Healthier Together plans. If you are interested in hearing more about our long term system plan or giving your views as it develops, visit our Get Involved page.

Have your say on future care provision at Healthier Together Conference

Health and social care leaders in Bristol, North Somerset and South Gloucestershire are holding a Healthier Together Conference on Thursday 17 October to gather public views on a long-term plan for the area.

The plan will set out local ambitions for the future of health and care provision, including acute hospital services, mental health, cancer, maternity care and end of life. It will also establish the workforce, financial commitments and partnership working required to deliver on these ambitions for patients and the public. The plan will reflect the national priorities set out in the overall NHS Long Term Plan, which was published in January 2019.

Every area of the country is required to submit their local plan to the national regulator NHS England and Improvement in the autumn.

The conference is a chance for members of the public, people representing patient participation groups, voluntary, community & social enterprise organisations, councillors and anyone else with an interest in local health and care matters to have their say.

Anyone interested in attending the event can book their place by visiting the events page or by calling 0117 900 2583.

Julia Ross, Joint Healthier Together Lead Executive and Chief Executive of Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group, said: “I’d like to thank everyone who has been involved in shaping our Five Year System Plan so far. Our Healthier Together Conference on 17 October is a further opportunity for a wide variety of people to find out more and share their thoughts on the plan ahead of our  submission to NHS England and Improvement at the end of November.

We want to hear from as many people as possible about what matters to them, and what they want to see from future services.”

Martin Wilkes, a public representative working with the Healthier Together Partnership, said: “It’s really important that we, as local residents and those that are going to be using these services both now and in the future, take the opportunity to engage in this process and share our thoughts and opinions.

“Knowing what local people think about health and care issues is really important and will help influence decisions made by the Healthier Together Partnership.”

The Healthier Together Conference will take place from 10.30am to 3.30pm on Thursday 17 October at the Ashton Gate Stadium in Bristol. Places are available by booking only.

Your invitation to the Healthier Together Conference 2019

Do you live in Bristol, North Somerset or South Gloucestershire? Do you have an interest in health and care matters? If so, then please join us as we plan our health and care priorities for the next five years!

On Thursday 17 October the Healthier Together Partnership will be hosting an action-packed conference focused on the development of our Bristol, North Somerset and South Gloucestershire Five Year System Plan.

This conference is a chance for members of the public, people representing PPGs, VCSE organisations, councillors or anyone with an interest in local health and care matters to join us in developing our health and care plans for the future.

Come along to:

  • Meet those involved in drafting the plan
  • Find out what this work means for you
  • Have your say in our area’s future health and care plans

When: Thursday 17 October, 10.30-3.30

Where: Ashton Gate Stadium, Bristol, BS3 2 EJ

Free refreshments and lunch will be provided. To help us manage numbers for this event, please let us know if you’d like to attend by reserving your place on Eventbrite. Alternatively, you can call the Healthier Together Office: 0117 900 2583.

A full agenda and speaker details will be published in the coming weeks.

Call for evidence - magnifying glass

Health and care leaders launch call for evidence

Health and social care leaders in Bristol, North Somerset and South Gloucestershire are calling on local people to share their views, insights and ambitions for the future of local NHS and social care services.

Healthier Together is particularly interested to hear from community groups, charities and academics that may be able to provide insights into topics including:

  • The use of digital technology to enhance health and care services
  • Respiratory, including smoking and air quality
  • Frailty
  • Cardiovascular health
  • Diabetes
  • Maternity and early years
  • Children and young people’s health
  • People living with a serious mental illness
  • Musculoskeletal (MSK) and physical health
  • Stroke
  • Cancer
  • Liver disease and alcohol use
  • Autism and learning difficulties
  • End of life care.

Julia Ross, Joint Healthier Together Lead Executive and Chief Executive of Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group, said:

“The purpose of this call for evidence is to help inform the development of our Five Year System Plan. While the plan is about setting out what health and care organisations need to deliver over the coming years, we can only create something meaningful if we seek the views and input from a wide range of citizens and organisations.

“We really want to try and tap into a broad cross section of expertise and knowledge beyond those people working within our partnership and hope people are willing to contribute to help shape the development of our plans.” 

You can take part by submitting your evidence via this survey link, by email: or writing to: Call for evidence, Healthier Together Office, Level 4 – South Plaza, Marlborough Street, Bristol, BS1 3NX. 

Submissions should be made by Friday 20 September 2019.

Call for evidence - magnifying glass

Further guidance for those wishing to contribute:

  • The scope of this work is focused on Bristol, North Somerset and South Gloucestershire – however submissions from people or organisations within other areas will also be welcome.
  • Submissions should be 1,000 words or fewer.
  • All submissions will be reviewed by people inputting to the development of the Five Year System Plan. All submissions will receive an acknowledgement to confirm receipt.
  • If people want information to remain confidential this should be explicitly stated within their submission. Otherwise information is likely to be published as part of a call for evidence findings report.
  • Submissions can be made using the survey link, in email, letter or report format. If preferred, evidence can be submitted via email or letter but should include the following details:
    • Name and contact details
    • Details of organisation (if applicable)
    • Topic(s) covered summarised at the start of the submission
    • Whether we have permission to publish all/ some of the response
    • Main submission of evidence (1,000 words or fewer)
    • List of references (if applicable). 

 You can find out more about this work and how it links to the national NHS Long Term Plan on our Five Year System Plan page

Person writing ideas

Five Year Plan

Our Five Year Plan

The NHS Long Term Plan was published in January 2019. Drawn up by staff, patients and national experts it sets out a national ambition for how we can all make the NHS fit for the future.

The plan has three key areas of focus:

  • Making sure everyone gets the best start in life
  • Delivering world-class care for major health problems
  • Supporting people to age well.

As part of Healthier Together, health and care organisations across Bristol, North Somerset and South Gloucestershire want to work in partnership with the public and staff to develop a local Five Year Plan. This will build on all the existing good work already underway and will help us to make sure we are creating an ambitious but realistic local plan that takes account of national priorities and our local communities.

Find out more and read the NHS Long Term Plan or the NHS Long Term Plan Summary.

Click on the video to play with sound

Watch the video to find out more about some of the problems we need to overcome and why it’s so important that organisations and communities work together to improve services.

With kind permission from The Health Foundation to share this video.

How can you get involved?

  • Email your thoughts and feedback to:
  • Staff listening events and surveys will be held across the BNSSG area. Further details will be promoted within each organisation
  • Through our existing programmes of work we regularly have conversations with a wide-range of people to seek feedback and input. This will be taken account of as our Five Year Plan is drafted
  • If you are part of our Healthier Together Panel your responses to surveys will be used to help inform the development of our local plan
  • We may also hold further public events or surveys – we will post details on this page, so please check back in the coming months.

Discussing ideas at an event

Healthwatch engagement

Local Healthwatch organisations have already sought some public feedback.

This included some broad questions relating to the NHS Long Term Plan and topic specific, including cancer and learning difficulties and autism. The report is published and includes our feedback and reflections on the findings.

You can view the report through this link to the Healthwatch website.

Julia Ross, Joint Healthier Together Lead Executive and Chief Executive of Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group, said:

“Understanding what’s important to local people, voluntary organisations and staff is fundamental to helping us shape the future of health and care services. Over the coming months, we will continue to build on the Healthwatch findings to ensure our health and care plans for the next five years are reflective of local need.

“On behalf of our Healthier Together partnership, I’d like to thank everyone for their contribution to this thorough and timely report.”

If you’d like to find out more, share your views or you have a question in relation to this work, please contact us: