Our Case for Change and Clinical Strategy

Better care, now and in the future

In this section

Our hospitals are at the heart of our communities. Every day, thousands of people rely on the care provided by staff at the Norfolk and Norwich University Hospital (NNUH), the Queen Elizabeth Hospital King's Lynn and the James Paget University Hospital. 

We want people across Norfolk and Waveney to receive the best possible care, now and in the future. 

Our Case for Change and Clinical Strategy look at how healthcare needs may evolve over the next 10 to 20 years. It examines how changing population needs, advances in medical care and technology, workforce pressures and significant investment in healthcare infrastructure could shape the way care is delivered in the future.

This includes £2.8 billion of investment through the New Hospital Programme to replace the QEH and JPUH, creating a once-in-a-generation opportunity to design services around future needs. 

It considers how people could receive more support before health problems escalate, more care closer to home where appropriate, and faster access to specialist expertise when it is needed.  

It also explores how hospitals, community services and neighbourhood teams could work more closely together to improve outcomes, reduce variation in care and make services more sustainable for the future.

Both our Group Board (2 November 2026) and the Norfolk and Suffolk Integrated Care Board (4 November 2026) have agreed there is sufficient evidence to support a Case for Change and progress to the next stage of work.

Importantly:

  • No decisions have been made about changing services
  • No preferred option has been identified
  • No formal public consultation has been authorised.

To learn more about the need for change and the options we have considered, view the Clinical Strategy supporting documents.

Related links


James Paget University Hospitals NHS Foundation Trust logo
Norfolk and Norwich University Hospitals NHS Foundation Trust logo
The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust logo