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Kevin Fong, Charlotte Summers, and Tim Cook unpick arguments that the NHS was not overwhelmed by covid-19, highlighting its legacy effects on healthcare and lessons for future health crises During the UK’s covid-19 inquiry we have heard that “there was an inbuilt reluctance to accept that it was possible to get to a point where the NHS was overwhelmed” and that NHS capacity was regarded as “elastic.”1 The question of whether the NHS was overwhelmed during the covid-19 pandemic has become an important point of debate. Some commentators continue to suggest that the NHS prepared for a surge in admissions that did not threaten NHS capacity and unnecessarily suspended services.234 These comments either misunderstand or misrepresent the nature of the threat, the NHS response to covid-19, and the concept of capacity in healthcare services. NHS capacity is a complex property of a complex sociotechnical system; it cannot be described through simple numerical counts of bed spaces, oc

City ofUnited kingdomKevinj fongMichael toolanTimm cookTristan caulfieldKevin fongSarah el sheikhaHelen mcnamaraRoopa mccrossanTim cookDanny wongHealth foundationNational audit officeWellcome trust innovationOrganisation for economic cooperation