In this seminar, we will briefly explore the way funds flow around the NHS system. Importantly, we will discuss value in the NHS and why a focus on ‘savings’ might not be the right one. This session will examine how to create value and make a case for securing funds to make changes happen. We will review some of the different incentive and contractual models in use in health and care and look at why their success requires a good mutual understanding between clinical and financial disciplines.