David Nicholson's Operating Framework for 2010/11 will look familiar to the NHS, with many of its messages reinforcing the Next Stage Review.
Despite the NHS fairing relatively well in the Pre-Budget Report, the massive productivity challenge remains: a relentless five per cent a year for three years.
The quality of NHS service does not have to be a casualty of the financial crisis - it could be an opportunity to focus on clinical improvement and effectiveness.
Anna Dixon comments on the recent controversy stirred up by the publication of Dr Foster's latest mortality figures.
Listen to extracts from my presentation speech alongside relevant slides by clicking on the small arrow in the bottom bar of the presentation. If you want to just scroll through the slides, use the arrow on the right hand side of the presentation.
If you were a chief executive in the NHS deciding how to improve quality and reduce costs, what type of leadership improvement would you choose?
Listen to Mark Jennings' presentation, where he argued that care can only be judged to be high quality if it is also delivered efficiently.
The focus in workforce planning needs to be on developing a flexible approach that doesn't seek long-term precision but can enable the workforce to evolve and adapt.
Does the NHS have the skills to continue the drive to improve quality despite the impending budget cuts? Mark Jennings reports from our 2009 annual conference.
What does the individual need in order to grow, develop, learn and ultimately make an impact across the wider system?
Health professionals must be able to talk openly about death and dying if end-of-life care in England is to improve, says Rachael Addicott.
Richard Humphries discusses social care reform, as the consultation on Shaping the Future of Care and Support draws to a close.
Integrating the commissiong health and social care should drive new means of delivery that reflect the needs of those using services rather than those who provide them.
Richard Giordano discusses the leadership role that clinical and medical directors will play during the cold resource climate ahead.
Measuring quality was put at the forefront of quality improvement by the NHS Next Stage Review. But we need to get better at thinking about why and how we use it.
Niall Dickson comments on Stephen O'Brien's admission at the Conservative Party conference 2009 that far from being the source of evil, targets could be a good thing.
Does the Health Secretary, Andy Burnham, know something we don't about future NHS spending? He seemed remarkably chipper at our debate at the Labour Conference.
Andy Burnham recently announced that hospital payments will be linked to patient experience at service level. Will this help to improve quality?
Faced with the squeeze on public spending it seems no politician is willing to suggest cuts in frontline staff, so it's quangos and regulators that get their focus.
Much of the health care improvement over the past decade has been characterised by high levels of investment - how will the NHS cope with the new financial challenge?