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Report

From diagnosis to delivery
A framework for accelerating NHS productivity growth

Published November 2025
Authors
Front cover showing jigsaw pieces with a dynamic red arrow over the top

Cite this publication

Allas T, Charlesworth A, Chhoa-Howard H, Fozzard K, Moulds A, Rocks S. From diagnosis to delivery: a framework for accelerating NHS productivity growth. Health Foundation; 2025 (www.health.org.uk/reports-and-analysis/reports/from-diagnosis-to-delivery).

This report explores our current understanding of NHS system productivity and the reasons behind faltering growth. It sets out how our four-driver framework will guide future recommendations.

Improving productivity is integral to creating a high-performing and sustainable health service. Amid tight public finances and stalled progress in improving the nation’s health, the NHS in England needs to seize opportunities over the next decade to deliver more and better care to patients for every pound spent. 

To assist, the Health Foundation has launched the NHS Productivity Commission to develop practical, evidence-based and ambitious solutions to improve productivity.

This report lays the groundwork, setting out:

  • our understanding of NHS system productivity
  • trends in key measures over the past two decades and diagnosing the reasons for the NHS’s recent stalling productivity
  • our four-driver framework, which will guide future recommendations
  • how you can get involved via our call for evidence.

Further reading

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