Ambition: Responsible with resources

We are committed to achieving financial sustainability as a foundation for delivering safe, high-quality care.

This means maximising value for money for the public, ensuring every pound spent contributes to better outcomes. It means improving efficiency and productivity, while protecting the quality and safety of care. We must maintain our assets, including buildings, equipment, and digital infrastructure, so they remain fit for purpose. It’s crucial that we recognise that financial sustainability is not just the job of our finance team — it’s a collective effort across the organisation. Finally, we will be transparent and fair, especially when difficult decisions are required, and support staff through change with compassion.

Strategic outcome

Achieve the best possible value for money for taxpayers.

Strategic priorities

• Achieve a long-term sustainable financial position
• Instil shared responsibility for managing all our resources wisely
• Make efficiency and productivity improvements.

Strategic measures

• Sustainable financial position delivered
• Percentage of cost improvement plan (CIP) plan delivered
• Score in NHS Oversight Framework
• Reduction in specific spend categories including temporary staffing
• NHS reference cost score
• Percentage of budget holders trained in financial management.

What does great look like for our patients and families?

• Every pound is spent wisely to improve care, so patients and families get the best possible value
• Buildings, equipment, and technology are kept up to date, helping ensure care is safe and fit for the future
• Even as we work more efficiently, the focus stays on delivering kind, high-quality care that meets people’s needs.

What does great look like for our staff?

• Staff know the organisation is well-managed and financially stable, helping protect jobs and services
• Resources are used effectively so staff have the right tools, equipment, and training to deliver great care
• Staff are involved in changes, treated with respect, and supported through decisions that affect their work.

What does great look like for our partners?

• Partners can rely on a well-run organisation that uses public money responsibly and protects the quality of care
• Clear financial planning and shared goals make it easier to work together on long-term improvements and service transformation
• Partners are engaged in open conversations about priorities, trade-offs, and how to get the best value for communities.

Case study