Do you think the NHS as we know it has a long term future? Will it remain possible, in decades to come, to continue using collective contributions to fund high quality care for all, regardless of ability to pay?
Many politicians and commentators in the UK would argue not (https://iea.org.uk/motion-should-the-nhs-be-privatisedhttps://www.cityam.com/fears-of-privatising-nhs-stop-from-saving-health-servicehttps://news.sky.com/story/sajid-javid-ex-health-secretary-issues-warning-over-nhs-as-he-admits-odds-stacked-against-tories-at-next-election-12768611https://www.telegraph.co.uk/news/2022/10/02/insurance-based-system-way-save-nhs).1234 After all, the challenges facing the health service grow every week, as The BMJ continues to show. The NHS faces an ongoing workforce crisis, and consultants in England have rejected the government’s pay offer, with a mandate to continue their industrial action until June (doi:10.1136/bmj.q222).5 The BMA’s Junior Doctors Committee for England is to reb
The vision of a comprehensive health service is as relevant today as in the 1940s, but new and different societal challenges require a rethink on how to deliver the NHS as it faces a national health and care emergency
The NHS is currently experiencing the gravest crisis in its history. While much excellent treatment and care is being delivered, too many people are not receiving the care they or their relatives need. Staff, patients, and the public are experiencing a loss of hope, confidence, and trust which must be reversed.1 Austerity, the covid-19 pandemic, and major financial and staffing problems, have left the NHS in a weakened state.23
Radical change is needed in the way services are designed to make better use of the technologies available and to provide more services in homes and communities. These changes should be led by the professionals and communities directly involved. They can build on the UK’s world class biomedical science and professional education,4 the skills an
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