High quality care must be centre stage in the NHS and take priority over hitting targets, a report put together by key managers in health service trusts said.
The research found enthusiasm for the proposals put forward by the Francis report, but warned of a "profound tension" between the quality of car desired and what could be paid for.
However, the report noted that one leader said: "I'd rather be hung for money than for quality and safety."
The report said Francis had "brought a powerful sense of professional shame" but added:
The pressure to stay within limited budgets that existed at the time of Mid Staffordshire has not gone away but has intensified, as funding increases for the NHS have been frozen in real terms since 2011/12.
More top news
For one young Australian, Santa Claus brought the greatest present of all this Christmas - the gift of life.
Essex Police removed 220 guns from people with firearms licenses who were suspected of domestic violence in a bid to prevent murders.
A grieving mother says her faith in humanity is restored after a stolen laptop containing photos of her dying daughter was returned to her.