NHS funding and finances

See our latest work on productivity and finance

The NHS is going through the biggest financial squeeze in its history. Since 2010, its budget has effectively been frozen, increasing by just enough to cover inflation. While this is generous compared to other areas of public spending, increasing demand for care means that services are under huge pressure.

The NHS has responded well to these challenges but financial pressures are growing, with large numbers of hospitals now in deficit. Looking further ahead, pressure to spend more will grow as the costs of treatment rise, public expectations increase and the population continues to age. Here is a selection of our research, analysis and other content relating to NHS funding and finances.

Latest briefing

Essential reading

Making change possible

Making change possible: A Transformation Fund for the NHS - front cover

Making change possible: A Transformation Fund for the NHS - front cover
Our report, in partnership with the Health Foundation, calls for a Transformation Fund to finance and drive forward essential changes to services.

How is the NHS performing? July 2015

QMR16 thumbnail

QMR16 thumbnail
Our latest quarterly monitoring report shows a deepening pessimism about the current financial state of health organisations.

Financial failure in the NHS

Financial failure in the NHS front cover

Financial failure in the NHS front cover
We explore the current financial state of the NHS, the approaches used to avert financial failure and how to deal with it once it occurs.

The NHS productivity challenge

NHS productivity challenge front cover

NHS productivity challenge front cover
We look at how six trusts have been grappling with the productivity challenge and suggest ways to divert the NHS and social care from away from a major crisis.

A new settlement for health and social care

A new settlement_cover1.jpg

A new settlement for health and social care
The final report from the Barker Commission calls for a new settlement for health and social care to provide a simpler pathway through the current maze of entitlements.

From the blog

The politics of NHS funding and taxation in the new parliament

If promised spending increases do not materialise soon, and ministers insist on the NHS regaining control of its finances, then urgent action will be needed, says Chris Ham.

Manifesto pledges: more money for the NHS... problem solved?

John Appleby

What do the political parties’ manifesto promises add up to, and is the NHS safe in anyone’s hands?

A transformation fund for the NHS

lillie-dunn-portrait.jpg

The King’s Fund and The Health Foundation have called for a properly resourced ’transformation fund’ to support change in the NHS.

NHS funding: past and future

John Appleby

The NHS featured heavily at all three major party conferences. How could it not; despite a ringfenced budget, it is increasingly showing signs of financial strain, says John Appleby.

Delivering better value in the NHS

chris-ham-pharmacy-event.jpg

2014/15 looks like being a watershed year in which the NHS moves decisively into deficit, so where do the opportunities lie in delivering better value?

Wanted: An even Better Care Fund

chris-ham.JPG

In light of our report on the NHS productivity challenge, Chris Ham calls for a new transformation fund to stop the NHS approaching a major financial crisis.