Intended for healthcare professionals


NHS financial crisis: signs of crisis or hope?

BMJ 2006; 332 doi: (Published 13 April 2006) Cite this as: BMJ 2006;332:914
  1. Stephen Black, management consultant (
  1. 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 …

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