The challenges facing the NHS 
NHS leaders 
51% 81% 
NHS leaders 
MPs 
Their local NHS needs to 
change to meet the needs 
of patients in the future. 
MPs 
Lack of political support 
is a barrier to change. 
There’s no political will 
to permit the necessary 
changes. 
Their constituents 
will oppose changes. 
58% 
Our 2015 Challenge campaign brings into focus the scale and nature of 
change needed to ensure a sustainable healthcare system for the future. 
The NHS and politicians need to work together to address these challenges. 
The 
The NHS needs to make 
large-scale changes to 
maintain current levels of care. 
Not confident in their 
local area’s ability to 
achieve change. 
To support change, 
MPs need: 
• Evidence that 
changes will 
improve care. 
• Public 
backing 
of clinicians. 
Nearly a quarter of MPs said that none of 
the above would persuade them to back 
changes if their constituents were opposed. BUT 
70% 
78% 43% 
solution 
nhsconfed.org 
@nhsconfed 
#2015challenge 
1. 
Greater 
commitment 
to working 
collaboratively across 
organisations. 
2. 
Clinical support 
for and 
involvement 
in changes. 
3. 
Open and 
honest public 
discussion 
about the need 
for change. 
4. 
Good 
evidence 
base for 
changes. 
5. 
Greater 
involvement of 
frontline staff in 
strategic decision 
making. 
• Evidence that 
changes will 
save money. 
The need 
for 
change 
Lack 
of 
confidence 
about the 
ability 
to make 
changes 
NHS leaders believe 
that political support 
for change is more 
important than 
extra investment.

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The challenges facing the nhs

  • 1. The challenges facing the NHS NHS leaders 51% 81% NHS leaders MPs Their local NHS needs to change to meet the needs of patients in the future. MPs Lack of political support is a barrier to change. There’s no political will to permit the necessary changes. Their constituents will oppose changes. 58% Our 2015 Challenge campaign brings into focus the scale and nature of change needed to ensure a sustainable healthcare system for the future. The NHS and politicians need to work together to address these challenges. The The NHS needs to make large-scale changes to maintain current levels of care. Not confident in their local area’s ability to achieve change. To support change, MPs need: • Evidence that changes will improve care. • Public backing of clinicians. Nearly a quarter of MPs said that none of the above would persuade them to back changes if their constituents were opposed. BUT 70% 78% 43% solution nhsconfed.org @nhsconfed #2015challenge 1. Greater commitment to working collaboratively across organisations. 2. Clinical support for and involvement in changes. 3. Open and honest public discussion about the need for change. 4. Good evidence base for changes. 5. Greater involvement of frontline staff in strategic decision making. • Evidence that changes will save money. The need for change Lack of confidence about the ability to make changes NHS leaders believe that political support for change is more important than extra investment.