Financial failure in the NHS: What causes it and how best to manage it – The King’s Fund – 9 October 2014
“This report describes the current financial state of the NHS and the reasons for the deterioration in financial performance and ultimately financial failure. These include weak leadership, legacy costs, PbR, and the impact of the wider health economy.
It considers the challenge of the conflict between quality of care and financial balance and sets out the approaches used to avert financial failure and to deal with it once it occurs. The role of ‘bail-outs’, loans, Public Dividend Capital, increased tariffs, whole health economy solutions, mergers and the importance of leadership are all considered. The report then sets out some recommendations for the future.”