The King's Fund

Financial failure in the NHS

  • Format: Printed copy
  • Authors: Richard Murray, Candace Imison, Joni Jabbal
  • Publication date: 9 October 2014
This report describes the current financial state of the NHS and the reasons for the deterioration in financial performance and ultimately financial failure. These include weak leadership, legacy costs, PbR, and the impact of the wider health economy.


It considers the challenge of the conflict between quality of care and financial balance and sets out the approaches used to avert financial failure and to deal with it once it occurs.