As the party conference season concludes and MPs return to Westminster, attention turns to the next major date: 26 November, budget day.
In the midst of speculation, two realities will be at the forefront of the chancellor's mind: money is tight, and demand for it is fierce, particularly in relation to healthcare and the NHS.
Money is tight, and demand for it is fierce.
The NHS is facing significant financial challenges, with frontline services having no money to spare.
Author's summary: NHS faces financial challenges.