"This is a hugely important report and one that the Government, the NHS, regulators and the Department of Health should carefully consider. 

"We need the Government to accept that financial pressures are the biggest facing the NHS at the moment. We cannot deal with these issues on a piecemeal basis. We need a frank conversation with the public about how we deal with these problems.

“Solving these problems requires a fundamental overhaul of where and how NHS services are provided. Propping up struggling trusts with short term solutions is not the answer. We need to take action before we reach crisis point.

"We must ensure the rules developed to deal with 'failing trusts' are clear and flexible enough to allow organisations to act quickly and tackle problems long before they reach breaking point.

"We agree with the committee that there is an urgent need to establish a joined-up, whole-system solution to address these financial problems. We need to look beyond the individual organisations affected and consider hospital, primary, community and social care services across a local area to determine how we can put patient care back on a financially sustainable footing.

“This is the time for the NHS Commissioning Board to help providers, not with bail outs, but by releasing money to new clinical commissioning groups so they can work with providers to help put them on a sustainable footing by changing the type and range of services they provide.

On the issue of PFI, Mr Farrar said:

“It is important not to overstate the impact of PFI. It is part of the story, but the fundamental issues are much deeper. We absolutely need to look at alternative funding models for financing NHS estates, but we must also remember that PFI is not the sole reason why organisations find themselves in financial distress."