Stephen Thornton, chief executive, Health Foundation:

The recommendations are all very good and all very worthy but are about what government should do to the health service.

They are not asking how you bring about the culture change needed to get clinicians thinking about how they can improve the quality and safety of the care they provide to patients and at the same time save money.

Peter Carter, general secretary, Royal College of Nursing:

We should not underestimate the improvements in some areas. But it now seems we’re at a crossroads.

What the NHS needs now, more than ever, are policies that ensure organisational stability and a Comprehensive Spending Review that delivers sustained funding for the NHS.

Nigel Edwards, policy director, NHS Confederation:

It covers the story that has been fairly well understood and explored. The interesting question is where do we go next?

It is clear there is quite a lot to do on getting back on a trajectory of engaging people in managing their own health.

We are pleased the report recognises that health policy is moving in the right direction

Dr Jonathan Fielden, Chairman of the British Medical Association’s consultants committee:

In the last few years the government has been so determined to balance the books and bring down NHS debt that doctors have been prevented from introducing innovative practices to improve productivity.

Hospital go-slow policies have meant that patients have had to wait longer for their operations despite the fact that doctors and their professional colleagues have been willing to carry them out.

Department of Health statement:

We agree that more has to be done to improve NHS productivity and to tackle some lifestyle issues like obesity.

We also agree that spending on health care will need to continue to grow above inflation if we are to meet patients' growing expectations.