Our new evidence-based analysis, Futureproofing the NHS: The case for transforming corporate services for innovation and productivity sets out why the NHS’s next phase of reform depends on getting the operational layer right. Shared finance, payroll, procurement, workforce and data systems are not back-office details, they are the foundations that determine whether investment in clinical care delivers lasting results, or gets absorbed by fragmentation and friction.

Drawing on insight from senior leaders across health, policy and industry, the paper makes a clear case: shared services are not about uniformity or top-down control. They are about giving local leaders more time, better data, and stronger infrastructure so they can focus on what matters most.

With £10bn committed to NHS digital transformation and the most significant structural reform in a generation underway, the window for action is now. Download the paper to explore seven practical priorities for building the operational foundations the NHS needs.

The productivity prize is real,
but it depends on collective action

The NHS does not lack ambition. It lacks consistent operational foundations at the scale required to turn ambition into delivery. This paper sets out the case and the practical path forward.

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