The upcoming budget presents an opportunity to address the funding gap in the NHS. The Darzi report bought the government some time, but the NHS finances have deteriorated. Short-term fixes like using private hospitals may not address the underlying issues of underfunding and rising demand for care. Organizational shifts towards community care and prevention will require time, additional spending, and legislation. The government faces challenges in balancing reform with investment due to public finances and election promises. Urgent action is needed to address winter pressures, long waiting times, and challenges in social care. Realistic objectives and resources must be provided to NHS leaders to ensure safe and sustainable care.
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