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The views of healthcare leaders 
on the future of the NHS 
Our 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. 
547 
senior healthcare 
leaders completed 
the survey 
The main challenges facing the NHS 
“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” 
that even if the NHS makes large scale changes, 
“this alone will not ensure it can maintain current levels of care” 
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Outdated or 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 change 
Plans 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 
51% 
45% 
of respondents 
believe... 
of respondents 
believe... 
Confidence While leaders 
recognise the 
need and are 
7 in ability to % change 
of respondents are 
not confident in 
their local health 
planning for 
economy’s ability 
change, to achieve it 
nhsconfed.org @nhsconfed #2015challenge

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NHS Confederation member suvey infographic

  • 1. The views of healthcare leaders on the future of the NHS Our 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. 547 senior healthcare leaders completed the survey The main challenges facing the NHS “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” that even if the NHS makes large scale changes, “this alone will not ensure it can maintain current levels of care” 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 change Plans 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 51% 45% of respondents believe... of respondents believe... Confidence While leaders recognise the need and are 7 in ability to % change of respondents are not confident in their local health planning for economy’s ability change, to achieve it nhsconfed.org @nhsconfed #2015challenge