Healthy Futures Programme

The journey –

The Healthy Futures Programme was developed as an umbrella programme through which system-wide and transformational change initiatives could be coordinated regionally. Its vision is “to achieve a financially sustainable health system which prevents illness, maintains independence and streamlines pathways.” It has particularly focused on pathology and head and neck services.

Initially the programme was strongly driven by quality and safety, but financial sustainability has increasing taken centre stage. It oversees both clinical change programmes, which focus on the redesign of clinical services and pathways, and enabling programmes, which focus on the coordination of support functions in line with new service models.



The programme’s key achievement is that it has created a platform for whole system change where previously there was a fragmented structure. To date, a number of major approvals for service reconfigurations have been gained and good progress made in several areas. For example, services in the two acute trusts in Bristol have been consolidated and reconfigured.


Patient setting

In-patient   X Out-patient   X Community based   X
Mental health Chronic illness Cross-systems   X


Clinical area

Staying healthy

Maternity and newborn

Children and young people

Acute care   X

Planned care   X

Mental health

Long-term conditions

End of life


Information, tools and techniques used

The Healthy Futures Programme grew out of the Bristol Health Services Plan (BHSP), which was established to transform, modernise and improve health facilities and services throughout BNSSG. It was informed by the Darzi white paper, which established the need for local authorities to establish health and wellbeing boards, as well as other policy drivers. To help implement programmes, the Healthy Futures team has created a set of local templates and tools based on the principles of models such as MSP and PRINCE2.



Bristol, North Somerset and South Gloucestershire (BNSSG).



The programme was initiated in March 2010 and is still ongoing.


Contact details and further information

Richard Smale is programme director of the Healthy Futures Programme.

Further information can be found at

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