Market Insight

Unlocking property potential from the NHS 10-year plan

The NHS 10-Year Plan presents a bold vision for the future of healthcare delivery- one rooted in localised, integrated services delivered closer to the communities they serve.
September 23, 2025
The NHS 10-Year Plan presents a bold vision for the future of healthcare delivery- one rooted in localised, integrated services delivered closer to the communities they serve.

For local authorities, this shift has far-reaching implications, not just for health and social care, but for placemaking, planning policy and regeneration.

At Vail Williams, our public sector property specialists are already helping local authorities, NHS bodies and development partners navigate these complex changes, unlocking value and creating sustainable healthcare infrastructure for the future. Here is some of what we have learned along the way, as Head of Public Sector, James Lacey, explores.

A call for closer integration

At the heart of the NHS 10-Year Plan is the drive towards more integrated care systems (ICSs), bringing together local councils, health services and social care providers to deliver more coordinated services.

This presents a huge opportunity for:

  • Shared estates – Enabling multi-agency use of public sector buildings to improve efficiency.
  • Community-centric place-making – Designing neighbourhoods that support health and wellbeing through joined-up infrastructure.
  • Co-location of services – Improving access to care and reducing estate inefficiencies.

As ICSs mature, local authorities will increasingly need to plan and deliver services in partnership with NHS Trusts and Integrated Care Boards (ICBs) – with health infrastructure becoming an essential component of wider regeneration.  ICBs are evolving and the next thought leadership will be released here.

Strategic planning must evolve

The Plan highlights the need to bring health into the heart of local planning decisions.

Local Plans, regeneration frameworks and infrastructure delivery plans must:

  • Align with NHS population health priorities,
  • Address health inequalities through access to care and green space, and
  • Incorporate data from Joint Strategic Needs Assessments (JSNAs).

For planning authorities, this means engaging with NHS partners earlier and embedding health-led regeneration principles into spatial strategies.

“It is important to plan for ‘fit-for-the-future’ health, police, fire and public sector property estates. The intent of the 10-year NHS Plan to bring health closer to strategic planning, is supported by Vail Williams, and will enable public sector construction projects to progress at pace.”

James Lacey, Head of Public Sector at Vail Williams LLP.
Headshot photo of James Lacey

Unlocking surplus NHS land

Local authorities also have a key role to play in unlocking underutilised NHS land for redevelopment.

In collaboration with NHS Property Services and other NHS organisations, these sites could be repurposed for:

  1. Affordable and key worker housing,
  2. Community health hubs; and
  3. Social value-driven regeneration projects and other Public Sector land uses.

This aligns closely with the Government’s focus on place-based investment, particularly in areas undergoing local government reform or devolution.

Overcoming delivery challenges

Many schemes still face issues around:

  • Viability – Funding gaps between required development costs and NHS rental values.
  • Decision-making delays – Lengthy approval processes hinder progress and reduce market confidence.
  • Definition and scope – Ambiguity around what constitutes a ‘neighbourhood’ health hub.

These factors can stall momentum and limit private sector participation, but they are not insurmountable with the right guidance, as Sarah Isherwood, Planning Partner at Vail Williams, explains:

“The 10 Year NHS Plan offers ambition and with the right strategic property advice, estate planning, development and delivery challenges can be overcome. Core to that success is stratefic collaboration between all stakeholders to deliver meaningful healthcare estate change.”

Public sector property experts

From national programmes like the NHS New Hospital Programme to localised health hub developments, Vail Williams offers expert public sector property advisory services to help local authorities and their NHS partners deliver on the ambitions of the 10-Year Plan.

Our public sector property specialists support clients with:

  • Site searches, possible land acquisitions and site disposals
  • Planning and development appraisals
  • Viability and red book and site / land valuation advice
  • Lease advisory consultancy
  • Building consultancy and surveying advice

Whether you’re navigating local government reform, planning for new community infrastructure, or unlocking surplus NHS land, our team is here to help. Vail Williams is proud to play a an integral role in the future of healthcare estate transformation.

If you’re a local authority, NHS body or public sector partner looking to deliver meaningful, community-first health infrastructure, let’s talk. Contact our Public Sector team to find out how we can support your project from concept to completion- and beyond.