By Henry Featherstone. Edited by Natalie Evans.

Our research, which included a roundtable discussion with a number of senior academics and business leaders with expertise in the NHS, considers some of the options for the NHS in a period of tight funding. We believe that in order to protect the NHS into the future the next Government needs to make bold decisions on:

• Performance related pay
• Reducing variations in clinical practice
• GP fundholding
• Decommissioning services
• Transformational change project