NHS finances outside the EU

"In this briefing we explore what the UK leaving the EU might mean for funding of the NHS in England. We then outline the current state of finances for NHS providers in 2015/16, what this implies for the total Department of Health budget, and the scale of the financial challenge facing the health service for the near future."

NHS finances outside the EU: Health Foundation analysis of the impact on NHS finances of the UK leaving the European Union
The Health Foundation
July 2016

Read more here.

New Commissioning for Value packs

"The information in the packs will be of particular interest to CCG clinical and management leads with responsibility for finance, performance, improvement and health outcomes; to NHS England regional team leads; and to commissioning support teams who are helping CCGs with this work."

Commissioning for Value – comprehensive data packs to support CCGs and NHS England in the regions
NHS England
January 2016

Access the packs here.

Improving length of stay: what can hospitals do?

"This report on length of stay by the Nuffield Trust is part of a larger project undertaken by Monitor which aims to find the best ways to improve quality of care across the health system in light of recent pressures on urgent and emergency care."
Improving length of stay: what can hospitals do?
N Edwards, R Lewis Nuffield Trust
September 2015

Read more here.

Health Foundation Representation to the 2015 Comprehensive Spending Review

"This document contains the submission from the Health Foundation to the 2015 Comprehensive Spending Review"

Health Foundation Representation to the 2015 Comprehensive Spending Review
The Health Foundation
September 2015

Read more here.

How is the NHS performing? April 2015

"As the NHS begins a new financial year and we move from one parliament to another, it is clear from the performance on key headline targets and standards and from our latest survey of finance directors that the NHS will face huge challenges this year – very possibly the most difficult for many years."

How is the NHS performing? April 2015: Quarterly monitoring report
J Appleby, J Thompson, J Jabbal
The King's Fund

Read more here.

Hospital finances and productivity: in a critical condition?

"NHS hospitals have only improved efficiency at an average rate of 0.4% a year over this parliament. This is substantially below previous estimates and the 2-3% set out in the NHS Five year forward view."

Hospital finances and productivity: in a critical condition?
S Lafond, A Charlesworth, A Roberts
The Health Foundation
April 2015

Read more here.

How is the NHS performing? January 2015

"Slightly more than 4 out of 10 trust finance directors forecast an overspend by the end of this year – the highest proportion since our survey began in March 2011 – and just over three-quarters say they are fairly or very concerned about staying within budget by the end of the next financial year."

How is the NHS performing? January 2015: Quarterly Monitoring Report
J Appleby, J Thompson, J Jabbal
The King's Fund

Read more here.

A system under strain: the views of NHS and social care leaders

"Health and social care leaders are deeply concerned about the financial future of the NHS and social care system. More than four in five respondents said they were concerned about the financial viability of their local NHS or social care provider(s). More than two thirds (70 percent) believed that NHS providers will need to go into deficit in order to maintain high-quality services."

A system under strain: the views of NHS and social care leaders
Health and Social Care Leaders’ Panel, A McKeon
Nuffield Trust
July 2014

Read more here.

Effective clinical and financial engagement

"Effective engagement between NHS clinicians and finance professionals has always been important and never more so than now as the NHS seeks to improve the quality of care for patients while becoming more productive and efficient."

Effective clinical and financial engagement: a best practice guide for the NHS
Department of Health
November 2013

Read more here.

Managing financial difficulties in health economies

"This research provides insight into the causes of, and reactions to, financial difficulty and the types of factors that have helped and hindered health economies in addressing deficits."

Managing financial difficulties in health economies: lessons for clinical commissioning groups
N Curry, B Rumbold, R Edwards, S Arora
Nuffield Trust
October 2013

Read more here.

2012-13 update on indicators of financial sustainability in the NHS

"This update focuses on the financial sustainability of the NHS trusts and foundation trusts that provide community, secondary and tertiary health services, and on the primary care trusts that commissioned those services up to the end of 2012-13."

2012-13 update on indicators of financial sustainability in the NHS
National Audit Office, Department of Health
July 2013

Read more here.

Being open and honest about NHS finance

"The NHS Confederation has published a report that lays out the choices we face to guarantee the delivery of safe, effective and sustainable health services in the years to come."

Tough times, tough choices: being open and honest about NHS finance
NHS Confederation
March 2013

Read more here.

A summary is available here.

How is the health and social care system performing?

"Concerns about the quality of health and social care are growing; a third of finance directors report that the quality of NHS care in their area has deteriorated over the past 12 months, compared with only about one in six in our last survey."

How is the health and social care system performing? Quarterly monitoring report
The King's Fund
February 2013

Read more here.

Clinical-financial partnerships in the NHS

"The scale of the NHS’s financial challenges, which is predicted to last for the foreseeable future, has led to increasing acceptance that more sustainable and integrated strategies and approaches are urgently needed to successfully deliver the necessary efficiency savings and quality improvements."

Clinical-financial partnerships in the NHS: why we need them to deliver the cost and quality challenge
A Neath, N Downham, M Mugglestone
NHS Institute for Innovation and Improvement
November 2012

Read more here.

NHS and social care funding: the outlook to 2021/22

"This report considers some scenarios for spending on the NHS and social care in England."

NHS and social care funding: the outlook to 2021/22
R Crawford, C Emmerson
Nuffield Trust
July 2012

Read more here.

Securing the future financial sustainability of the NHS

"This report looks at the financial sustainability of NHS commissioners, and the NHS trusts and NHS foundation trusts that provide community, secondary and tertiary health care services."

Securing the future financial sustainability of the NHS
National Audit Office, Department of Health
July 2012

Read more here.

Sustainable health and social care

"Evidence suggests that adopting various measures could generate considerable cost savings for the health and social care sector, as well as reducing its environmental impacts."

Sustainable health and social care: connecting environmental and financial performance
C Naylor, J Appleby
The King's Fund
March 2012

Read more here.

Personal health budgets and NHS continuing healthcare

"A personal health budget is an amount of money that is allocated to an individual to allow them to meet their health and wellbeing needs in a way that best suits them."

Personal health budgets and NHS continuing healthcare
Department of Health
January 2012

Read more here.

Clinical responses to the downturn

"Seven medical specialties address how they can help tackle the NHS financial challenge."

This report examines how to release NHS resources across the seven specialties of:

• neurosurgery
• geriatrics
• vascular services
• pathology
• orthopaedics
• neonatology 
• dermatology

Clinical responses to the downturn
NHS Confederation - in partnership with British Medical Association, Academy of Medical Royal Colleges, and The Joint Medical Consultative Council
December 2010

Read more here.