Achieving high quality care for all has always been the focus of this site. As we’ve been exploring recently, however, with changing fiscal times must come new strategies for ensuring that Lord Darzi’s vision, around which the whole NHS has now organised, continues to be met. Efficiency must be our new watchword – only by achieving high productivity can we ensure that the NHS can continue to provide high quality care. Innovation and prevention services will be crucial to securing this aim. We ask four simple questions.

• How best can we involve staff, partners, patients and the public in this challenge?
• What are the key measures which can enhance quality and reduce cost?
• How can we best organise to deliver these twin aims?
• Where might we be able to adapt national policies to support this process?

These four questions are fundamental to meeting the quality and efficiency challenge – the NHS want to hear your opinions. You’ve only got until October 31st to let them know what you think, so please let the NHS know and the easiest way to contribute your own thoughts is probably to fill in their questionnaire