This King’s Fund report gets to the heart of funding and demand issues and paints a very clear picture of the challenges we face.

No manager wants to come to work and cut services or reduce access. All of us will be at the front of the queue for more resources and all of us will put up a hand to find ways to improve what we do.

The King’s Fund paints the backdrop to the difficulties we face.

Not joyous reading and certainly not cause for celebration. It is sober and thought provoking, especially at the time we are about to elect our next government.

This is an elegant and independent view of the way the NHS today and what the future holds.