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<p>The 2010 Spending Review protected health funding in real terms. However, in order
to continue to meet rising demands while improving services, it was estimated that
up to £20 billion of efficiency savings would be required over the four years from
2011-12 to 2014-15.</p><p> </p><p> </p><p> </p><p>The National Health Service response
to this challenge was organised through the Quality, Innovation, Productivity and
Prevention (QIPP) initiative, also known colloquially as the ‘Nicholson challenge’
after Sir David Nicholson, who was Chief Executive of the NHS at the time that QIPP
originated.</p><p> </p><p> </p><p> </p><p>The NHS is on track to deliver up to £20
billion efficiency savings, having reported around £15 billion of efficiencies in
the first three years, all of which will be reinvested into frontline care.</p><p>
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