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How is the health and social care system performing? February 2013

This quarter's monitoring report finds that, while most NHS organisations are on track to meet financial targets, it is clear that pressures are growing towards the end of the second year of the so-called Nicholson Challenge.

For the first time, our quarterly monitoring report also includes a survey of directors of adult social services in English local authorities alongside its usual survey of NHS finance directors.

This is the seventh quarterly monitoring report produced by the Fund as we aim to provide a regular update on how the NHS is coping as it continues to grapple with the £20billion productivity challenge while implementing the government's NHS reforms. It is a continuation of our work to assess, analyse and report on the performance of the NHS.