Finance, funding and value

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NHS organisations have continued to raise concerns over finances and been clear on what is needed from the centre to help them deliver better value. 

Our recent member survey of over 300 NHS leaders highlighted worsening financial pressures and waning confidence in meeting savings targets.

When asked what they want from the government to support the NHS, senior leaders called for a binding agreement on health and social care, more funding and more frankness with the public about the need to change.

What we're doing

Our work aims to influence national policy to create the right environment for change and to support members to make necessary changes. This work is centred around our three priority areas: a settlement for health and social care, unlocking savings and reforming the NHS payment system.

Here's a snapshot of some of our key areas of work:

  • The 2015 Spending Review set the conditions for the NHS in this Parliament. We influenced this process through our formal representation to HM Treasury and by working with partners across health and social care to promote our main asks and communicate what members need on funding to manage deficits and transform services. 
  • The national tariff has a big impact on members and we’re working closely with NHS Improvement and NHS England to improve it. This includes numerous engagement activities bringing members closer to the tariff-setting process and speaking on behalf of the whole system in calling for faster reform of payment mechanisms.
  • Finance cannot be separated from quality and the NHS needs to focus on value to continue to deliver more with less resources, deliver efficiencies and contend with a funding gap. We’re working in partnership with the Academy of Medical Royal Colleges to be system leaders on value and promote closer collaboration between finance and clinical professionals to support better value in decision-making

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National tariff 2017–2019

A rundown of the headline proposals for the 2017 to 2019 tariff.

Finance animation still

Securing a settlement for health and social care

Take a look at what we've been doing to secure and maintain a sustainable funding settlement for health and care.

access to finance

Delivering savings to close the funding gap

Bringing you together with the national bodies to develop a plan for delivering savings in this Parliament.

Change cartoon

Reforming the NHS payment system

Pressing the case for better engagement with the tariff-setting process and a whole-system response to risk-sharing in the NHS.

Decisions of value logo

Reinforcing value-based healthcare

Practical resources and insights to help establish value-based healthcare as a vision for the NHS. 

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Strengthening the role of trust special administrators

We worked closely with you and key stakeholders to reform the statutory duties and responsibilities of trust special administrators appointed to providers of NHS-funded services in failure.

Related News

Lords call for independent body to assess health spending

A Lords Select Committee inquiry into the long-term sustainability of the NHS has echoed a number of recommendations put forward by the NHS Confederation.

View article

Ambitious NHS plan a ‘leap in the dark’, Confed chief warns

The NHS in England has no alternative but to embark on an ambitious transformation plan that poses significant risks and is a leap in the dark, the head of the NHS Confederation has warned.

View article

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Latest Blog Post

Why we need to maximise the value of lay member recruitment, training and development | Susanne Hasselmann

18 / 4 / 2017 10.04am

The move toward place-based planning across the health sector places accountability and governance at the centre of debate. Lay members, according to Susanne Hasselmann, will be crucial in making sure local areas get it right.

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