BMA Council held an SRM on 14 September 2025 to debate the risk of the NHS England 10-Year Health Plan to the medical profession at large, and the delivery of safe and effective care to our patients.

Watch it back

See what took place at the 2025 SRM.

• Watch SRM part 1

• Watch SRM part 2

• Watch SRM part 3

• Watch SRM part 4

Sign in to the BMA website to access the SRM standing orders.

SRM resolutions

We have published the resolutions following our morning and afternoon sessions at the SRM.

• Download the resolutions (morning session)
• Download the resolutions (afternoon session)

SRM technical guide

Sign in to the BMA website to access the SRM technical guide.

Sign in to the BMA website to access the pre-SRM briefings and survey report.

Background to the SRM 2025

The 10 Year Health Plan for NHS England was published on Thursday 3 July and is intended to deliver fundamental changes to the way in which health services are structured, funded, and delivered. 

The plan has been framed as the prescription to Lord Darzi’s diagnosis of the problems facing the NHS in his 2024 review, with an overarching message from Government that they believe their reforms are needed to preserve the NHS. 

The plan is substantial. It covers a significant array of issues and proposes a raft of new policies and reforms. The reforms set out in the plan are centred on – but not limited to – the Government’s three ‘shifts’: 

• moving care from hospitals to communities: focusing on providing more care outside of hospitals, with an emphasis on the development of ‘neighbourhood health centres’
• moving from analogue to digital: focused on major expansion of the NHS App and greater use of AI and other technology
• moving from treatment to prevention: focusing more on preventing ill health than on treatment, including likely the wider determinants of health and factors that influence a person's need for care. 

The plan goes beyond the shifts, though, covering other major areas of reform including:

• developing a new operating model
• introducing additional transparency on hospital performance
• creating a new workforce model
• a new innovation strategy
• reforming clinical negligence
• reforming NHS finances. 

Read additional information about the proposed reforms. 

Next steps on the 10 Year Health Plan

To support the discussions that will take place at our Special Representative meeting on 14 September, we have produced the following analysis on the plan.