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NHS financial sustainability

In January 2018, our report on sustainability and transformation in the NHS concluded that extra funding it received in 2016-17 was spent on coping with current pressures rather than the transformation required to put the health system on a sustainable footing. We also reported that trusts were still a long way from being able to live within their means without the additional funding.

Our next study will build on our previous reports in this area and examine the progress made by the Department of Health & Social Care and its arm’s-length bodies towards achieving a financially sustainable NHS. It will provide a summary of the financial position of local NHS bodies as well as NHS England in 2017-18. It will examine the financial flows and funding mechanisms in the NHS, and the actions being taken to make sustainability and transformation partnerships (STPs) and integrated care systems (ICSs) a success.  These examinations occur as the NHS develops a 10-year plan in the wake of the government’s announcement of a long-term funding settlement for the NHS.

If you would like to provide evidence for our study please email the study team on, putting the study title in the subject line. The team will consider the evidence you provide; however, please note that due to the volume of information we receive we may not respond to you directly. If you need to raise a concern please use our contact form.