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
The number of obese diabetics having surgery needs to triple to tackle the "major problem" facing the NHS, the health advisory body says.
A collection on cricketers have given their backing to Sean Abbott, the man who bowled the ball that struck Phil Hughes.
Batsman Phil Hughes died after a "catastrophic" head injury caused by a cricket ball splitting a major artery at the base of his neck.