2015 Challenge Manifesto

2015 challenge manifesto partners

The 2015 Challenge Manifesto has been produced by national organisations representing health and care charities, local government, communities, staff and leaders, speaking with one voice. It sets out the better future we want to shape for health and care provision, and the steps needed to make this a reality.

Vision and route map

Leaders at all levels need to drive changes to services locally, working in partnership with each other, staff, people we care for and local communities. But these vital changes can only happen if Government and national bodies create the conditions to enable change. Our manifesto spells out what politicians and policymakers need to do – our 15 'asks' – and calls on political parties to commit to delivering them.

Our manifesto is both our vision for a future health and care system and a route map to achieve it.

Our asks


A government-wide approach to keeping people well.

Genuine parity of esteem for mental health.
No top-down reorganisations.
Local leaders driving change within a national framework, including simplified performance regimes.

New models of care that are supported politically at a national and local level.

Enabling locally led deployment of new technologies, coordinated information systems and cutting edge research at pace and scale.

Politicians playing a leadership role in ensuring debates about change focus constructively on the implications for people’s health and wellbeing.
Longer-term settlements for health and care that support service change, with adequate funding to meet demand across health and care.

Flexibility for providers on new organisational models with a clarified policy on provider futures and the foundation trust pipeline.
Payment system reform – to incentivise new models of care.
A national sector-led programme to support self-care at scale.
A non-recurrent £2 billion fund to support change for at least two years over and above this.
Workforce reforms that value staff and secure the workforce of the future.
Political accountability for decisions on funding – recognising that health and care cannot absorb current pressures and deliver everything we currently do without more funding.
Government must build consensus around the expectations on the health and care workforce to provide seven-day services and providing support to meet these expectations.  







The 2015 Challenge Manifesto builds on the 2015 Challenge Declaration, which laid out the seven challenges that politicians, policymakers and the public need to address after the election: needs, culture, design, finance, leadership, workforce and technology.


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