Hospital to community
Build neighbourhood capacity for specialist nursing, complex care, discharge, rehabilitation, long-term conditions and care at home.
UK health system
Turning three national shifts into local capability.
The 10 Year Health Plan for England sets a direction from hospital to community, analogue to digital and sickness to prevention. Mary’s work examines the operating conditions required to make those shifts real.
Analogue to digital
Connect referrals, care plans, medicines, workforce and outcomes so teams act on a shared, reliable picture.
Sickness to prevention
Use continuity, observation and data to identify deterioration and risk earlier, then intervene proportionately.
The delivery gap is an integration gap.
Community care cannot absorb greater responsibility without interoperable information, mature governance, a skilled workforce, sustainable commissioning and clear outcome accountability. The strategic opportunity is not merely to move activity; it is to redesign the pathway.
Read the official 10 Year Health Plan ↗Mary’s policy lens
Five tests for credible neighbourhood health reform.
Is care genuinely multidisciplinary?
Can information follow the person?
Are families active partners?
Are outcomes visible to commissioners?
Can the workforce deliver safely?