It is a myth that front line services can be protected from the impact of the NHS savings drive, according to the NHS acting chief executive.
In a report published today in which Nigel Edwards also warns that the NHS is facing its "greatest ever challenge", he writes: "Every effort should be made to protect front line services but the changes that will be required are so significant that it is almost certain that front line services will be affected."
He said today: "Now is the time for everyone working in our health service to rise to the challenge of providing improvements in care while also working more efficiently. An aging population, changing lifestyles and the rising costs of healthcare are placing greater demands on services, which are themselves costing more and more to provide."
Managers in the NHS have been tasked with finding savings of between £15-20bn over the next four years through changes such as reducing variation in clinical practice.
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