Partnering for 2026-29: What the NHS Medium-Term Plan Means for Suppliers

Discover what the NHS Medium-Term Planning Framework (2026-29) means for suppliers, longer contracts, digital-first delivery and true partnership models that reward agility and impact.

The NHS is changing how it buys, builds and partners. Suppliers who align early bringing flexibility, data capability and a long-term mindset, will lead the next wave of transformation.

The NHS’s Medium-Term Planning Framework (2026-29) marks a turning point for the supplier community.

For years, most relationships were transactional with short-term contracts, reactive renewals and price driven decisions. That era is ending.

Over the next three years, the NHS wants transformation partners. Suppliers who can evolve with it, share accountability and help shape delivery across systems and regions.

Here’s What That Means in Real Terms:

  1. Multi-year contracts are the new normal.

Frameworks are stretching three to five years. The NHS is looking for suppliers who can stay the course, not just deliver and disappear.

  1. Digital is the baseline, not the bonus.

Every service must have a digital or data edge. Interoperability, analytics or automation that supports smarter decision making.

  1. Value means productivity + outcomes.

It’s not about being cheapest. It’s about helping the NHS do more with less and improving patient outcomes.

  1. Community health is where growth happens.

The shift to neighbourhood and preventative care opens new opportunities remote in monitoring, telehealth and diagnostics closer to home.

  1. Contracts will flex.

Expect variable payments tied to performance and shared risk/reward. Suppliers will need to prove outcomes, not just outputs.

  1. Scale and adaptability win.

Whether you’re a national player or niche specialist, the ability to integrate quickly and scale regionally will be key.

  1. Engage early.

Don’t wait for the tender notice. Systems are already shaping plans for 2026-29. Be part of the conversation before procurement formally begins.

How the Best Practice Summary Model Looks:

What HealthTrust Europe Looks For:

  • A clear multi-year delivery roadmap
  • Proven digital and data credentials
  • A collaborative approach to solution design
  • Built-in flexibility and transparent value models
  • Strong governance on data, sustainability and outcomes

In a Nutshell:

The NHS wants long term transformation partners, not one-year vendors. The next three years will reward readiness, agility and real partnership. If you can show up early, adapt fast and deliver measurable change, you’ll stand out.

At HealthTrust Europe, we’re evolving our frameworks to make that possible. Connecting suppliers & systems who are ready to build the future, together.