Our Future Health Secured?

Summary

The Wanless review Securing our Future Health, published by the Treasury in 2002, concluded that the United Kingdom would need to spend substantially more on health care and that fundamental reform would be needed to enable those resources to be used effectively. Five years on, The King's Fund has commissioned Sir Derek to undertake a retrospective review of NHS spending. Real spending on the NHS has increased by nearly 50 per cent in that time. This report looks at where that money has been spent, what it has achieved, whether government policy has promoted effective use of the resources, and what needs to happen next.

Download contents

The full report and a summary version can be downloaded using the links at the top of this page. As the full report is a very large file (4.7MB), you may prefer to download individual chapters using the links below.

• Title pages (92 kb)
• Summary (114 kb)
• Foreword and preface (94 kb)

Part 1 – Review and recommendations

• Chapter 1 – Overview (152 kb)
• Chapter 2 – Summary of NHS funding and performance since 2002 (374 kb)
• Chapter 3 – The policy framework (186 kb)
• Chapter 4 – Recommendations (189 kb)

Part 2 – The evidence

• Chapter 5 – Funding: what was spent (140 kb)
• Our Chapter 6 – Input costs: why they rose (295 kb)
• Chapter 7 – Resources: investment in staff, buildings and equipment (484 kb)
• Chapter 8 – Outputs: the services delivered (781 kb)
• Chapter 9 – Outputs and determinants of health (1311 kb)
• Chapter 10 – Productivity: efficiency and quality (788 kb)

Appendices and references

• Appendices (197 kb)
• References (100 kb)