If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Monitor, NHS England and the NHS Trust Development Authority have published this document to encourage debate about how the NHS can change its models of care to provide better services in the future.
It is primarily for NHS commissioners and providers to use as they prepare their 5-year plans.