How is the NHS performing? April 2014: Quarterly Monitoring Report

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Part of Quarterly monitoring report (QMR)

Launch the digital Quarterly Monitoring Report

About this quarter's report

The 2013/14 financial year (that has just ended) is the fourth year of a difficult financial period for the NHS. While afforded a degree of relative protection in previous spending rounds, after taking account of various relative transfers to local authorities, the NHS in England has effectively had no real rise in spending between 2010/11 and 2013/14.

Despite the challenge this has created on key performance measures and based on our latest survey of finance directors, in broad terms the NHS has continued to provide services to a growing population and to maintain the quality of those services.

However, there is deepening pessimism about the ability of the NHS to make ends meet financially, particularly in 2015/16.

How is the NHS performing? April 2014 is the eleventh of The King's Fund's regular quarterly monitoring reports. Find out more about the work.