Abstract
And so the NHS settlement for the next 4 years has arrived. It is, you might say, exactly as expected. The coalition government has honoured to the letter, though in the smallest way possible, its commitment to real terms spending growth −0.1% a year. But £1bn a year by 2014-15, or getting on for 1% of the budget, is to be diverted to spending on social care in an attempt to stop NHS beds overflowing as local government copes with its biggest real term cuts ever: a reduction of more than a quarter in its central government grant.
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