The views of healthcare leaders on the future of the NHSOur 2015 Challenge brings into focus the scale and nature of change needed to ensure a sustainable healthcare system for the future. Here are the views of healthcare leaders from our national survey.

senior healthcareleaders completed

the survey

547

The main challenges facing the NHS

3.Open and honest public discussion

on the need for large scale change and the

costs and benefits involved

5.Outdated or

inappropriate service or workforce

models

1.Greater commitment

to working collaboratively

across organisations and boundaries

3.Potential future

budget cuts

2.The effect of an increase in long-term conditions

4.Good evidence

base for benefits of

change

The case for changePlans for change

97%

91%

of respondents stated that plans are being made for service change within their own organisations

of respondents stated that joint plans are being made in collaboration with other local health and/or social care organisations

The key enablers for change

2.Clinical

support for and involvement in

changes

The consequences of failing to achieve change

4.Patients will experience a

reduction in the quality of care

1.Local

providers go into financial

failure 2.Patients will experience a reduction in

access to care

3.Providers will need to reduce the numbers of front-line

staff

4.Insufficient

budget to meet current service requirements

1.The effect

of an ageing population

5.Greater

involvement of frontline staff with strategic decision

making

that even if the NHS makes large scale changes, “this alone will not ensure it can maintain current levels of care”

“The NHS needs to make large scale changes to the way it currently operates and provides services in order to maintain current levels of care”

51%

45%

of respondents believe...

of respondents believe...

Confidence in ability to change

While leaders recognise the need and are planning for change, 7 %

of respondents are not confident in their local health economy’s ability to achieve it

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