By NHS England (July 2013)
In this document, NHS England calls on the public, NHS staff and politicians to have an open and honest debate about the future shape of the NHS in order to meet rising demand, introduce new technology and meet the expectations of its patients. It sets out the challenges facing the NHS, including more people living longer with more complex conditions, increasing costs whilst funding remains flat and rising expectation of the quality of care. It argues that the NHS must change to meet these demands and make the most of new medicines and technology and that it will not contemplate reducing or charging for core services.