Fit for My Future

We want to support the health and wellbeing of the people of Somerset by changing the way we deliver health and care services in the county.

Fit for my Future is the strategy for the Somerset Integrated Care System (ICS). It is responsible for planning and buying health services to meet the needs of people in Somerset, now and in the future. We have worked closely with Somerset County Council which is responsible for commissioning adult care and support services.

Why are we changing?

It’s a big challenge. Resources are tight but if the different parts of our health and care system work more closely together we’ll see some big rewards. We all need to do more to stop getting ill in the first place. But when people do become ill we want to make sure they can get access to joined-up health and care support in the community, away from hospitals where possible, to help them live independently for as long as they can. The challenges are complex. Rising demand – we think our population will grow by 15% over the next 25 years and the number of people aged 75 and over will double – escalating costs and new technologies. We need to meet these challenges, stay within budget, and improve quality.

Some figures behind the need to change

We’re gearing up to meet these challenges:

  • 40% of ill health could be prevented – around 41% of adults are overweight, 26% are obese and they’re at greater risk of diabetes, cancer and heart disease
  • A recent audit found 47% of admissions to hospital could have been avoided if alternative treatment had been in place
  • The number of people with dementia is likely to double by 2035 to around 18,000
  • 3 out of 4 people with physical illness receive treatment but only 1 in 4 people with mental health problems do
  • People with severe mental health issues often suffer from poor physical health and they’re at risk of dying 10-20 years earlier than others
  • 2,400 disadvantaged Somerset families are part of the ‘Troubled Families’* programme and 500 of our children are looked after
  • 14.5% of our children have a long term illness of some kind; 17.5% have a diagnosable mental health condition

What it means for all of us?

As we’ve gathered evidence to underpin our case for change, it’s also begun to shape our thinking about priorities and proposals for integrated health and care services. We all want to see more joined up services, many of them provided locally in the community, with the individual or patient at the heart of where and how they’re delivered.


Working for a healthier Somerset We want to encourage and help people to live healthier, longer lives by helping them to stay well and prevent illness in the first place. Over the last few years people have told us that they want health and care services to be better coordinated in the heart of the community and centred around their needs, with the right staff with the right skills in the right place to help them when they need it.

Be part of it!

Find out what you can do to be fit for your future – we will continue to update this page with information on how you can get involved

Somerset NHS Citizens’ Panel

Our Citizens’ Panel, launched in 2020, is an opportunity for people across the county to help ensure that the voice of the local population is heard and influences developments. Some of the activities a member may be involved in include; filling in a survey, attending a focus group (in person or online), or giving feedback on proposed changes to healthcare.

By joining, you can help us to provide better quality care in a way that matters the most to local residents, have your views heard by local health and care decision makers and find out about new plans and ideas for Somerset.

Join the Somerset NHS Citizens’ Panel


Sign up to our Engagement Bulletin

Our weekly engagement bulletin will keep you updated about any changes or development to NHS services in Somerset as well as promoting opportunities to get involved. To sign up to receive the bulletin, please contact the Engagement Team email:

We’d love to hear from you!

The views, thoughts and experiences of the local communities are vital in developing outstanding services in Somerset. You can…



NHS Somerset Integrated Care Board

Wynford House

Lufton Way
BA22 8HR


01935 384119