This document is a collaborative effort across the NHS and its partners to describe a sustainable health system and the components that are needed to achieve it. By its nature, the NHS must be sustainable – we must meet the needs of our patients today, while ensuring we have a service fit for tomorrow and beyond. At a time when we are driving forward significant change to improve outcomes and meet the financial and practical challenges of increasing demand for our services, we have the opportunity to create a truly sustainable NHS. This is not limited to financial sustainability, but must focus too on social and environmental sustainability, so that the NHS of the future remains in the best possible position to improve quality and to limit ...