While costs increase, budgets tighten. Demand continues to intensify. Leaders in NHS Trusts face top-down scrutiny and pressure to meet performance targets. And understaffing at the frontline results in a constant challenge to recruit and retain a workforce – who are themselves struggling to deal with the pressures.There is also the need to work far more closely with social care and system partners - which requires time, trust and resources. Yet the priority is always going to be providing quality and effective care to everyone who needs it.



