IPPR recruited a workforce assembly – across the NHS, social care, and unpaid care – to define a new vision for health and care work. Through assembly deliberations and further research, the IPPR has developed these principles into a ten-point policy plan for the future. IPPR held 240 hours of discussion with an assembly of doctors, nurses, midwives, pharmacists, carers and other health workers, with participants desperate for new managers to do the ‘managing’ to free up their time to do the ‘caring’. The findings from the assembly come with new analysis from IPPR which show that since 2010, England has had up to 10,000 ‘missing managers’ within frontline NHS hospital and community care services. Previous research shows that the UK spends far less on health system managers than many comparable countries. The UK only spends 2p in the pound on healthcare administration, compared to 5p in Germany and 6p in France. The report also highlights the triple threat of soaring demand, sick staff and low pay facing the healthcare workforce.