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Voice of NHS leadership says 'the health service in England won't survive unchanged'
The health service will face the most severe and sustained financial shortfall in its history after 2011, a report by NHS managers warns.
The NHS Confederation report says the health service in England will not survive unchanged, the BBC has learned.
Managers at its conference will be told they face an "extremely challenging" financial outlook.
Health Secretary Andy Burnham said NHS funding had tripled since 1997, putting it on a strong financial footing.
The report, to be published on Wednesday, warns any modest cash increases could be outstripped by rising costs within the health service.
This would leave the NHS in England facing a real-terms reduction of between £8bn and 10bn over the three years after 2011.