Crisis looming for the NHS11th July 2014
The NHS has always been free at the point of use; however, health officials believe this could change in the next decade.
Nearly half of the 78 health and care leaders surveyed by the Nuffield trust felt the NHS could not continue with its current funding.
The government called this an "unrealistic picture" but labour said NHS finances were in a "dire state".
Provisional figures for 2013-14 show 66 out of nearly 249 trusts finished the year in debt.
The overall deficit was about £100m, compared with a £383m surplus the year before.The research said another £2bn a year may be needed to keep pace with demand.
The review of spending since 2010 highlighted the growing number of NHS trusts falling into deficit as a sign of growing problems in the health service.
Report author Andy McKeon, said: "The NHS has risen to the challenge of living within its means over the past three years.
"But it has now reached a tipping point. The NHS is heading for a funding crisis this year or next."
He also highlighted the first signs of the health service buckling under the financial pressures will be an increase in waiting times.
Read the report from Nuffield trust here
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