We want to work with residents to shape how health and care services develop in Hillingdon over the coming years. Some of the changes being proposed are part of national plans, but how these changes are delivered locally is something we want to discuss with residents, carers and community groups during January and February 2026.

These ideas aim to make it easier to get support, more joined-up, and closer to home, and they are informed by the Government’s 10-Year Health Plan, the national Neighbourhood Health Programme, and Hillingdon’s Health and Wellbeing Strategy.

What could change?

Local Health and Care Teams Working Together in Neighbourhood Health Hubs

Three local teams in Ruislip, Uxbridge and Hayes (known as Neighbourhood Teams) would bring together GPs, nurses, mental health staff, social care, voluntary groups and specialist input from hospital teams to work more closely as one team. These teams would increasingly work from Neighbourhood Health Hubs, so the people who support you can work together under one roof.

This would mean better communication between services and fewer situations where people feel ‘passed around’.”

Faster Help When You Need It

A borough-wide Reactive Care Service could provide support within two hours for people who need urgent help at home, often preventing the need for an A&E visit or hospital admission
 

More Support to Stay Well

We would like to talk to residents about how we can provide more help to prevent health problems, support long-term conditions, reduce loneliness, improve children’s health and offer earlier mental health and wellbeing support.

New Neighbourhood Health Hubs

New centres in Hayes, Uxbridge and Ruislip would be developed in phases over the coming years, gradually bringing more services into one place, closer to people’s homes, including:

  • Same-day urgent care
  • Blood tests and X-rays
  • Therapy and rehabilitation
  • Mental health support
  • Community and voluntary services

As these hubs develop, Neighbourhood Teams will increasingly work from them, making it easier to get the support you need without travelling to hospital.”

Quicker, Safer Discharge from Hospital

Hospitals and community services could work more closely so that people who are medically ready to leave hospital can return home sooner, with the right support already in place.

A New Hillingdon Hospital

A brand-new Hillingdon Hospital is planned to open around 2032. The current buildings are ageing and need replacing to support safe, modern care.

The new hospital will offer:

  • modern facilities
  • faster tests and diagnostics
  • more same-day care
  • better spaces for patients and staff

As part of creating a modern hospital, some care that is currently provided on the existing site may in future be delivered in different ways – for example by the hospital on another site, by partner services, or closer to home in neighbourhood hubs. This will help ensure that people only need to go to hospital when it is truly necessary, and that more care can be provided locally.

What Would Feel Different for You?

  • Easier access to local services
  • Less need to travel to hospital
  • Faster help in a crisis
  • Services that talk to each other
  • More support for families and children
  • More prevention and early help
  • A simpler, easier-to-navigate local system

How These Changes Could Benefit You

More local care

You won’t need to travel as far for urgent appointments, tests or treatments.

A smoother experience

Professionals will work more closely together, meaning you won’t have to repeat your story to multiple services.

Faster urgent support 

The Coordination Hub and Reactive Care Team mean you could get help at home within hours.

Better support for children

More support through Family Hubs, Child Health Hubs, mental health teams in schools and faster assessments when children need help.

More help to stay well

Easier access to health checks, lifestyle support, mental wellbeing help and falls prevention.

Support to live independently

More rehabilitation and home-based support to help people stay independent for longer

What’s Likely to Happen Over the Next Few Years?

Over the next 3–5 years, more services would be delivered in neighbourhoods, Neighbourhood Health Hubs would open in phases, and community teams would take on more care that currently happens in hospital.

As part of national plans, work on the new Hillingdon Hospital will continue throughout the decade, with the new building expected to open around 2032

In Summary

Hillingdon is beginning a conversation about how local health and care services could work better for residents.


Our aim is to make services easier to use, more joined-up, and closer to home, and we want these ideas to be shaped with the people who use them.