Delivering the NHS Medium-Term Framework in Practice: Turning Ambition into Action
November 5th, 2025
The NHS’s new Medium-Term Planning Framework sets a clear direction for the next three years. It calls for a shift from hospital to home, analogue to digital, and reactive to preventive care. For Luscii and Graphnet, this isn’t new thinking. It’s what we’ve been supporting the NHS to achieve every day through remote monitoring at scale.
By uniting Shared Care Records, Population Health, and Remote Monitoring, we help Integrated Care Systems deliver better outcomes for patients, reduce hospital demand, and achieve sustainable transformation at scale. What the Framework describes as ambition is already happening across England today.
Delivering the NHS Framework in practice
| NHS Objective | Luscii & Graphnet |
|---|---|
| Reduce waiting times and improve access | Early intervention through remote monitoring reduces elective backlog and prevents crisis admissions. |
| Digitise pathways and unify data | Graphnet SCR + PHM + Luscii create a single digital pathway from home to hospital. |
| Scale prevention and community care | Proven ICS-level deployments (Dorset, Frimley, Kent) show how to operationalise prevention at population scale. |
| Empower local leadership | PathwayAI Builder and configurable integration give ICBs autonomy to design local models while using a proven national blueprint. |
| Sustainability and financial resilience | Reduced hospital demand and optimised workforce time deliver measurable savings such as £400k in 90 days. |
Neighbourhood health in action
Neighbourhood health sits at the heart of the Framework, and rightly so. When local teams have live, shared data and a joined-up view of their patients, they can anticipate need and respond before people reach crisis.
That’s already happening in places like Dorset, Frimley, Kent, and Airedale, where neighbourhood teams are using Luscii and Graphnet to join up monitoring, population health data, and shared care records.
- In Frimley ICS, virtual ward programmes supported through Graphnet and Luscii reduced admissions by over 50%, freeing up nearly 940,000 bed days each year.
- In Dorset, 14,000 people with hypertension are now monitored from home, leading to faster treatment and a 20% lower risk of heart failure and stroke.
- At Airedale, 99% of patients with COPD have remained safely at home, saving around £1 million in hospital costs.
These are signs of a wider shift, from reactive to proactive, and from hospital-based to community-based care. Neighbourhood health means establishing connected teams, delivering shared insight, and supporting patients where they live.
Doing digital differently
Digital-first care shouldn’t mean more screens or more admin. It should mean simpler, safer and smarter ways of working.
By integrating Luscii’s patient app and Clinical Engine directly into Graphnet’s Shared Care Records and Population Health systems, data flows automatically across services. Clinicians see what they need in one place, without extra logins or duplicated entries.
For patients, it means appointments, monitoring and communication can happen in one connected journey. For staff, it means technology that supports them instead of slowing them down. This is what the NHS means by doing digital differently: practical innovation that fits around real-world care.
Prevention, productivity and proven impact
The Framework sets ambitious targets for prevention and productivity, but the two are deeply linked. Preventing avoidable illness or deterioration is the most effective way to improve efficiency.
When live population health data from Graphnet meets Luscii’s remote monitoring insights, NHS teams can act before patients reach crisis. The impact is clear:
- 81% fewer unplanned admissions
- 19% fewer A&E visits
- £400,000 saved in just 90 days in one UK programme
Together, Graphnet and Luscii now support over 20 million patient records across the UK and have enabled more than 150,000 patients to be remotely monitored across Europe. This gives NHS systems a proven path to scale and a model for prevention-first, efficient care.
Better experience for patients and staff
Transformation only works if it feels better for people, both those receiving care and those delivering it.
Patients using Luscii tell us they feel more connected and confident in managing their health. In the gestational hypertension programme, for example, 90% of patients said they would recommend the service to others. Those using a COPD pathway rated their overall experience 4.6 out of 5, and their feeling of safety 4.3 out of 5.
Across NHS pilots, up to 81% of patients have experienced fewer unplanned admissions, showing that digital-first care can still feel deeply personal.
For staff, it removes duplication and brings reassurance that patients are being safely supported at home. This alignment of patient and staff experience is central to the NHS Framework’s focus on engagement and workforce wellbeing. By giving both sides the right tools and insight, we make space for what matters most: care.
Empowering local leadership
One of the clearest messages in the NHS Medium-Term Planning Framework is that transformation must be led locally. Every Integrated Care Board needs the tools and data to design models of care that work for their population, not a one-size-fits-all approach imposed from the centre.
Luscii’s PathwayAI Builder allows clinical teams to translate that insight into locally tailored digital pathways for prevention, monitoring and escalation. Graphnet’s system-wide data and population health insights also give ICBs the intelligence to understand local need, target resources, and plan capacity.
Together, it creates a model that combines national consistency with local flexibility. Each ICB can adopt proven approaches, then adapt them to fit their own workforce, geography and patient needs, whether that means focusing on long-term conditions, acute virtual wards or prevention-first programmes in primary care. This creates the conditions for change that lasts, with empowered systems leading transformation on their own terms.
Moving from vision to reality
The NHS has set out an ambitious and inspiring plan. Luscii and Graphnet are proud to already be helping systems deliver it.
Neighbourhood health. Digital by default. Prevention-first care. These are already goals being achieved in within the NHS today.
Together, we’re turning policy into practice and creating a stronger, more connected health service—one that works better for patients, professionals and the system as a whole.
A trusted, long-lasting partnership for remote patient monitoring
Working together with healthcare providers, our flexible platform goes beyond virtual wards to reach more patients at home, easing future service demands.