About NHS Future Fit

The decision making meeting on the future of hospital services for people in Shropshire, Telford & Wrekin and mid Wales will be held on Tuesday, 29 January 2019 at Harper Adams University, Edgmond, Newport TF10 8NB. The papers for this meeting are available

NHS Future Fit is about improving the hospital services provided at the Royal Shrewsbury Hospital in Shrewsbury and the Princess Royal Hospital Telford to meet the needs of our communities across Shropshire, Telford & Wrekin and mid Wales.

After listening to the views of thousands of local people over the last four years, our doctors, nurses and other healthcare staff have developed a proposed new model of hospital care – for one hospital to become an Emergency Care site and the other hospital to become a Planned Care site, with a 24-hour Urgent Care Centre at both hospitals.

There are two options, one of which is our preferred option, on how we deliver this model of hospital care. Our proposed model has also undergone rigorous independent testing and scrutiny to ensure that it meets all the relevant standards.   


The Future Fit public consultation, which ran from 30 May  to 11 September 2018, was the result of huge amount of work carried out by the NHS Future Fit programme. Future Fit was set up in 2013 in response to the Government's 'Call to Action', which asked NHS staff, patients, the public and politicians to come together and agree what changes are needed to make our local NHS services fit for the future. 

Over the last four years, we have listened to and involved thousands of local people, including NHS staff, patients and community groups. We have held a series of public roadshows, focus groups, conducted surveys and delivered presentations to a wide range of audiences, from parish councils to young people's forums and senior citizen forums.

Most recently, we undertook a 15-week public consultation to listen to the views of people across Shropshire, Telford & Wrekin and mid Wales.

We have also undertaken two Integrated Impact Assessments (IIAs), which assess the potential impact and equality effects of the changes we are proposing. The IIAs were taken into account as part of the CCGs' decision-making process in considering their preferred option.

Who's involved?

NHS Future Fit is led by NHS Shropshire CCG and NHS Telford & Wrekin CCG and managed by the Sustainability Transformation Partnership (STP) for Shropshire, Telford and Wrekin, which is governed by sponsor organisations and stakeholder organisations:

NHS Shropshire Clinical Commissioning Group

NHS Telford & Wrekin Clinical Commissioning Group

Powys Teaching Hospital Health Board (PTHB)

Shrewsbury and Telford Hospital NHS Trust (SaTH)

Shropshire Community Health NHS Trust

Stakeholder organisations:

Healthwatch Shropshire

Healthwatch Telford & Wrekin

Powys Community Health Council

Shropshire Council

Telford & Wrekin Council

Powys County Council

West Midlands Ambulance Service NHS Foundation Trust

Welsh Ambulance Services NHS Trust

Robert Jones and Agnes Hunt NHS Foundation Trust

South Staffs and Shropshire Healthcare NHS Foundation Trust

Shropshire Doctors Cooperative Ltd 

NHS Future Fit Programme Board meets regularly and is made up of representatives from these organisations.  For the full terms of reference please read the latest version of the Programme Execution Plan.


Frequently Asked Questions (FAQs)

We have collated a list of frequently asked questions and their answers on our FAQs page


A&E department stretched over two sites

A&E department stretched over two sites

‘No change’ is not an option

‘No change’ is not an option



  • Telford and Wrekin population of 168,000
  • Shropshire population of 306,000
  • Mid Wales (Powys) population using Shropshire and Telford Hospitals of around 50,000
  • 300+ local doctors and nurses are involved in redesigning our local health care services.

    300+ local doctors and nurses are involved in redesigning our local health care services.