Policy paper

NHS mandate 2018 to 2019

The mandate to NHS England sets out the government’s objectives and budget for the public body.

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NHS England oversees the commissioning of health services in England. It has an important role in setting direction for the health and care system as a whole. The government’s mandate to NHS England sets its objectives and budget, and helps to ensure that the NHS is accountable to Parliament and the public.

This mandate reaffirms the government’s commitment to an NHS that provides the best care and support to today’s patients, and also safeguards the service for future generations.

Building on the multi-year approach taken to setting the mandate since 2016, it continues to set objectives and goals to 2020, as well as some specific things that NHS England should be seeking to deliver in the financial year 2018 to 2019.

The financial directions accompanying this mandate set out certain additional expenditure controls to which NHS England must adhere. These stem from budgetary controls that HM Treasury applies to the Department of Health and Social Care.

Published 20 March 2018
Last updated 21 May 2019 + show all updates
  1. A revised mandate has been published with updated budget figures in section 3. Revised financial directions have also been published.

  2. First published.