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“2020health is an important and thoughtful contributor to the health debate”

Dr Sarah Wollaston MP, Chairman, Health Select Committee


2020health Short Report Cutting the costs without cancelling the services: How to save the NHS £12bn in one year without stopping a single operation

  • 01.06.2010
  • Julia Manning, Emma Hill, Gail Beer

This report reviews the NHS as a whole within the context of cutting costs and unveils some radical proposals, including merging emergency services administration, investing in staff health and wellbeing and enhancing NHS counter fraud measures.


• Merging emergency services administration – Save £14.4m
• Investing to improve staff’s health and wellbeing, reduce sickness absence and so cut agency worker’s costs – Save £555m
• Forcing mergers of pathology labs to save duplication – Save £880m
• 5% across the board pay cut for all NHS staff for just one year – Save £1.792bn
• Withholding hospital payments for hospital acquired infections – Save £150m
• Slashing management spend - Save £1.5bn
• Enhancing NHS counter fraud measures, encouraging trusts to see fraud as a business risk - Save £1bn
• Halting any new building plans - Save £800 million
• Making NHS IT fit for purpose - Save £2bn
• Reducing dependency on prescriptions and medicines waste – Save £ 1.6bn


• Andrew Lansley took forward some of our suggestions, especially those around merit awards.


Download - Cutting the costs without cancelling the services (PDF, 488 KB)

Download - Cutting the costs without cancelling the services

Cutting the costs was published online in June 2010.