The National Health Service (NHS) Long Term Workforce Plan published in Summer 2023 will impact not only on England’s public healthcare sector but also on the independent healthcare sector.  The Plan signals a shift towards a more generalist NHS workforce, with expanded training places and more routes into training and employment over the medium term. With its key priorities being to “Train, Retain and Reform”, it represents a modest attempt to ensure the NHS’ sustainability over the long-term. By targeting a number of straightforward objectives which the NHS have been calling for over the last decade—creating more training places and modernising the NHS pension scheme to boost staff retention—there are few who would disagree with the Plan, but it may be a case of ‘too little, too late’. In this piece, Marwood analyses the potential impacts on England’s health and care workforce and identifies the key takeaways for investors considering assets in this market.