How RIVIAM is already making the NHS 10-Year Plan a reality

In July 2025, the government published the NHS 10-Year Plan: a bold vision for shifting care closer to home, making digital the default and putting prevention at the heart of healthcare.

It’s a great vision, but the real question remains: how do we turn it into reality?

For us at RIVIAM Digital Care, this isn’t a distant aspiration, it’s what we’ve been building towards for years. 

Dr. Shan Mantri, Medical Director at RIVIAM along with John Shaw, our Market and Business Development Director, explain why the plan is not just exciting for the NHS, it’s a huge opportunity for digital innovators like RIVIAM to accelerate transformation and support better care for everyone.

From hospital to community

The plan describes shifting resources from acute hospitals into the community with the creation of Neighbourhood Health Services. 

These new bodies will include co-ordinated teams of NHS, social care and third sector organisations working together locally. Each Neighbourhood Health Service will have a local physical hub which will be open for extended hours and designed to keep people healthy in their communities.

“This is exactly what our Multi-agency Hub is designed for,” says Dr. Shan Mantri. “It lets health, social care and third sector partners work together digitally. It's live. It’s proven. And it's ready to scale.”

John Shaw agrees:

“This new structure is built around integration, not isolation. That’s our whole model: connecting systems, organisations and people.”

RIVIAM’s platform is already powering the Community Wellbeing Hub (CWH) in Bath and North East Somerset, a partnership between 30+ health, social care and third sector organisations. RIVIAM ensures communication and collaboration between all parties is seamless, proving the model can work. Read the Local Government Association case study here.

Our Hospital to Home service is used across all wards at the Royal United Hospital and the Community Hospitals in Bath enabling hospital teams to refer medically fit patients to a whole range of CWH services – reducing discharge waitlists and freeing up beds. Read more about the outcomes in last year's SomersetLive article. 

With a real-time link to the acute hospital’s EPR, we share when patients are being discharged with CWH partners so they can co-ordinate care better. 

“Where the NHS plan shows what needs to happen, RIVIAM shows how to make it happen,” John says. “We’re the digital bridge that links it all together.”

Read our Community Wellbeing Hub business case.

From analogue to digital

The plan aims to create a Single Patient Record and transform the NHS App into a true “Digital Front Door” by 2028, with modules for self-referral, care-plan access, bookings, health data and access to community services - all delivered through secure, interoperable systems.

The Tony Blair Institute’s recent report on the NHS App makes it clear: this isn’t “just an app”. The NHS App could become the infrastructure for how 56 million people in England access, manage and improve their health. But the report also warns of the productivity paradox: the risk of digitising old processes instead of reimagining care. To unlock its full potential, they say the App must:

• Be co-developed with the Single Patient Record.
• Focus on prevention and proactive health management.
• Integrate fully with clinical pathways.
• Work seamlessly with private and voluntary sector providers.

This is exactly where RIVIAM comes in.

As part of the NHS Wayfinder programme, we’re integrating our services directly into the NHS App. Our Digital Front Door Patient Engagement Portal (PEP) soon available via the NHS App will offer:

• Booking, amending and cancelling appointments.
• Access to important documents and questionnaires.
• Choice of clinicians.
• Ability to see past appointments.
• Two-way messaging between patients and providers and real-time notifications.

RIVIAM’s Patient Engagement Portal with NHS login is live today with a large national healthcare provider, built with interoperability and a link with TPP SystmOne for real-time appointment management.

Patients can book multiple appointments for the same service in one instance, providing convenience. 

The customer has already seen a reduction in patient Did Not Attends (DNAs) and an increase in clinic slot utilisation. RIVIAM will soon be able to provide an update on these specific KPIs.  

“The plan says interoperability is mandatory and that’s where we shine,” says John. “Our secure integration engine means we can plug into the NHS App and other national clinical systems immediately.”

As the Tony Blair Institute report emphasises, the opportunity isn’t just to digitise the NHS as it is, it’s to transform it. That’s exactly the opportunity RIVIAM is seizing.

Read more about our NHS App integration.

From sickness to prevention

The third shift in the plan is moving from treating illness to preventing it by using insights from data, AI and proactive outreach. The focus is on reducing smoking and obesity, increasing vaccine uptake, expanding screening and addressing wider health determinants like air pollution and lack of employment.

RIVIAM is already heading in that direction.

“We’re exploring AI like our Sadie Clutter Classifier, which can visually assess clutter in a home and suggest a classification using the internationally recognised Clutter Image Rating. Clutter is a real risk factor for poor health and safety,” Shan explains. “By detecting risks early, prevention becomes possible and digital tools can make this quicker, consistent and more reliable.”

Sadie Clutter Classifier is designed to assist a professional in their decision-making, not to replace them.

Integration is the thread that ties it all together

The NHS Plan calls for shared digital tools, interoperable systems and secure data flows and it recognises that system fragmentation must end.

“The plan doesn’t tell people how to integrate,” John notes. “That’s the gap we fill. We bring together the technology, the workflows and the data-sharing that make integrated care real.”

Dr. Shan Mantri agrees:

“Our referral management services are evolving to offer a Referrer’s Hub in 2026 so referrers can login in, send quicker referrals, track referral status and securely share information across teams and with other providers. Along with the Digital Front Door Patient Engagement Portal, this improves patient and professional understanding of resources and ensures the right care is delivered at the right time by the right person.”  

Don’t wait, do it now

The NHS 10-Year Plan is an opportunity to reshape healthcare around patients and support a left shift to community care and prevention. RIVIAM is designed to support new models of care, enable prevention and is fully integrated with existing systems to enable data to flow for insights and population health management.

With live deployments across health, social care and third sector partners, RIVIAM has already shown what integrated, digitally enabled care looks like in practice 

At RIVIAM, we’re not waiting for 2035 to make that vision real. We’re delivering it today.

Interested in learning more? Contact us at [email protected].