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Quality, Innovation, Productivity and Prevention (QIPP) programme

Sir David Nicholson, Chief Executive of the NHS, told the NHS system that it would need to make between £15bn and £20bn in efficiency savings by the 2014/15 financial year. The scale of efficiency savings amounted to savings of approximately 6% a year.

The 'Nicholson Challenge' (so named by the Health Select Committee) was formalised as the Quality, Innovation, Productivity and Prevention (QIPP) programme.

While the NHS delivered target savings over the first 2 years of the QIPP delivery period (2011/12 and 2012/13), it became increasingly difficult for the NHS to maintain that progress over the second half of the QIPP period, as the financial pressures facing it became more critical.


Ball J, Sawer P.
NHS chief tells trusts to make £20bn savings.
The Telegraph; 2009.

Department of Health.
Annual report and accounts 2012-13.
HMSO; 2013.