The Health and Social Care Bill: Where Next?

The NHS has entered a period of significant financial challenge. Four per cent in efficiency improvements each year to 2015 must be achieved without damaging care quality. Structural reform aimed at ensuring sustainability – the provision of good quality care within the resources likely to be available in the medium to longer term - will also be necessary. In this response to the NHS ‘listening exercise’, we build on our previous research and analysis to outline a strategy in support of both objectives. Nuffield Trust publications are available to download free of charge from www.nuffieldtrust.org.uk/publications