The latest figures on the financial performance of NHS providers (foundation and NHS trusts) shows them heading for a deficit of more than £800m in 2014-15.
This is a stark reminder that business as usual in the NHS is unsustainable.
The first steps towards a more sustainable future were made recently when NHS England announced the 29 areas that will be the vanguard sites for three of the new models of care outlined in the NHS five year forward view.
As part of the vanguard programme, NHS England has set aside £200 million in 2015-16 as a transformation fund. This is a welcome recognition that change needs to be resourced.