The NHS 2025/26 priorities – where does the sector fit in?

NHS England has just released its 2025/26 Priorities and Operational Planning Guidance, setting out key areas of focus for the year ahead. While the document emphasises collaboration and local flexibility, it does not explicitly mention voluntary, community, faith and social enterprise sector. However, this does not mean there is no role for the sector —far from it. Here are our initial thoughts on the guidance and the role of the VCFSE sector.

The guidance highlights the need for improved access to care, greater efficiency, and tackling health inequalities. These are all areas where VCFSE organisations already play a critical and expert role. From supporting vaccination and screening programmes, helping NHS staff with training, mobilising volunteers and providing crucial preventative and early intervention services, the sector’s contribution is undeniable and never more needed.

A shift towards local decision-making

Perhaps the most promising takeaway from this guidance is the increased control that Integrated Care Systems (ICSs) will have over local funding and decision-making. This devolution of funding presents a real opportunity for the VCFSE sector to deepen partnerships with health systems. With funding and decision-making happening closer to communities and with more flexibility this will ensure that the voices of communities are heard, and services are truly accessible to those who need them most. It is vital, however, that this funding is guided through the lens of prevention and does not become swallowed by acute trusts.

Concerns over the removal of key targets

The removal of specific health targets, such as those for dementia, women’s health, and learning disabilities, has raised concerns that these areas may receive less funding and attention. Without national targets, resources may be redirected elsewhere, leading to fragmented services and inconsistent care across regions. Additionally, recent comments from the Health Secretary about breaking the "culture of the voluntary sector" (as noted in this statement from the Royal Osteoporosis Society) have further unsettled organisations that play a critical role in patient care.

The VCFSE sector is a trusted partner in driving preventive change, and we would like to see North West health systems maintain and strengthen the partnerships built over the years to ensure the continued delivery of effective, high-impact patient pathways and services.

The challenge of efficiency savings

There is some expectation that with providers being asked to make four per cent efficiency savings, despite an overall uplift in budgets, there is a significant risk of cuts and service closures in order to meet these targets. However, with the VCFSE sector’s bread and butter being prevention, alongside value for money and the social value that the sector provides, there is every opportunity for us to shout about our successes and our impact to further cement the sector’s role in the long-term vision.

Opportunities in neighbourhood health models

The inclusion of expanding neighbourhood health service models as mechanisms for preventing admissions and improving access to care may also create opportunities for the VCFSE sector. Potential integrated service offerings, closer collaboration, streamlined access to care, and the development of a shared vision with common outcomes can help strengthen partnerships and enhance engagement with communities.

Integrated Care Boards will be required to work with wider system partners to develop plans that align with both the objectives set out in the guidance and local priorities for March 2025.

Looking ahead

At Voluntary Sector North West, we will continue to advocate for a stronger, more integrated role for the VCFSE sector. We will closely monitor developments to ensure that the sector’s central role in health creation is embedded within the 10-Year Plan, working in collaboration with our infrastructure partnerships across the North West.

Let’s make sure that collaboration isn’t just encouraged—it’s embedded in the system.