Journal of General Practice Nursing (GPN) | March 2026

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Fit for the Future: implications, opportunities and risks

Fit for the Future: implications, opportunities and risks
General practice nursing

Pages: 54 - 57

Article topics: Fit for the Future, NHS reform, Primary care, Workforce development

Fit for the Future aims to move care from hospital to community through neighbourhood health services, elevates prevention as a national priority and commits to stronger workforce development. For nurses working in general practice, this creates opportunity: neighbourhood reform is located in and around general practice, and prevention priorities align with core general practice nurse (GPN) work in screening, immunisation and long-term condition management. However, the plan does not identify general practice nursing as a distinct workforce group, leaving role definition, staffing assumptions and development routes to local implementation. Without early engagement in neighbourhood design, GPNs risk limited influence on workforce models and uneven access to chapter 7’s ‘best employer’ offer, particularly for practice-employed nurses. This article outlines the plan’s implications and argues that visible nursing representation is essential to secure investment and progression pathways.

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