NHS financial crisis: signs of crisis or hope?

doi:10.1136/bmj.332.7546.914-b

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Stephen Black, management consultant (tephen.black@paconsulting.com)

London SW1 W9SR

EDITOR—The current financial crisis in the NHS may be the birth pangs of real reform and not a cause for panic.1

Historically NHS trust accounts have contained little useful information. They existed more to tick a statutory reporting box than to provide useful guidance on performance or the state of the hospital. To declare surpluses (which will be taken …