Despite huge efforts to maintain standards of care and finances, NHS leaders are increasingly concerned about the pressures mounting on their organisations and the knock on impact of reductions in funding for local government services.
The findings of the Francis inquiry reinforce the fact that we must keep the focus on patients first and foremost.
We need to look beyond short-term solutions that balance the books and examine how we can transform the way we deliver care so that it provides the best outcomes for people, in a way that is fully sustainable in the long-term.
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A chilly evening and night with clear skies and tomorrow a little more cloud through Scotland and Northern Ireland again.