The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document.
This new national leadership of the NHS issues an unprecedented warning to politicians, none of whom are included in the endorsements, that it cannot continue at current funding levels, and additional resources worth more than 1.5 per cent a year in real terms will be required.
[5] The plan includes a focus on the health of NHS staff, saying that three quarters of hospitals fail to make available nutritious food for nurses and other workers on night shifts.
Stevens said NHS staff should set an example by leading healthier lifestyles as part of a drive to improve the health of the nation.
[6] The plan also pays far more attention to the potential for technological innovation using the internet and mobile phone and apps than any previous NHS document.
[15] Proposals for companies to run primary and acute care systems or multispecialty community providers appear to have been prevented because they would be liable for VAT.
[16] In the 12 months to September 2017, compared to the 2014–15 financial year, there was a reduction in the rate of hospital bed days per 1,000 population - for Primary and acute care systems 0.5%, for Multispecialty community providers 1.5%, and for the rest of England 1.3%.
Money will be directed from a joint budget to wherever patients are judged to need it most: Multispecialty community providers are supposed to bring specialist services, like chemotherapy and dialysis, out of the hospital and closer to people's homes.
They were described as a "political vanity project" in April 2017 by Dr Tom Coffey, who is NHS England London clinical director of emergency care.
[19] NHS England announced three potential routes for MCP contracts in July 2016:[20] By August 2017 some of these providers appeared to be merging into the proposed accountable care systems.