NHS@75: What the future might hold

NHS@75: What the future might hold

In 2023 the NHS will be 75 years old. With increasing financial pressures and soaring demand, the NHS is changing. Questions over quality, services, technology and funding make it hard to imagine what the NHS might look like in 10 years time.

NHS@75 sets out a vision for the health service in 10 years time. How do you imagine the NHS of 2023?

“On the 65th anniversary of the NHS it is right that we celebrate its great achievements. But we must also look to the future and work together to set an agenda for change that meets the needs of the population it serves. A window of opportunity exists to set out a vision of what we want the NHS to look like in 10 years’ time and then begin the journey towards achieving that goal. It is not going to be an easy journey, but if we wait, it will be too late.”

Mike Farrar, Chief Executive, NHS Confederation

“There is an urgent requirement to see the care model change in a way that reflects today's burden of disease and today's technology so that it becomes more of a genuine health and wellbeing service and less of an emergency national illness service.”

Rt Hon Stephen Dorrell MP

“My message for our successors? Are you delivering better outcomes than ten years ago? Are patients safer in your care than they were in ours? Are you better organised around the needs of your patients and are they more engaged and better informed than they are now? Well done, if you can say yes. It’s all anyone could have expected.”

Geoff Mulgan, NESTA

“The leadership of the NHS will need to keep as single-minded a focus on assuring the future as on improving the patient-centredness of the NHS. Those of us leading organisations linked to, but not of the system, must work collaboratively to help our constituents and the public see the benefit of change. And politicians must do what they are good at – helping the country make the decisions none of us want to make on our own.”

Ciarán Devane, Chief Executive, Macmillan Cancer Support

“If it is to thrive in the next decade, the NHS must reinvent itself as a health service, not a sickness service. It must do more to tackle the determinants of ill health by fully engaging the public in altering the lifestyles that cause sickness. It must act with other agencies in addressing the social, economic and cultural causes of health inequalities.”

Chris Ham, Chief Executive, The Kings Fund

“We are in danger of sleepwalking towards dismantling the NHS. Of course there is a lot that needs change and improvement. In ten years’ time, a functioning NHS will need coordinated out of hospital services for the very old; it will need patients who are informed, engaged and when necessary stroppy; and it will need a more social and less medical, less pharmaceutical model of care.”

Jeremy Taylor, Chief Executive, National Voices
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10 steps to a healthy state

  1. Patient and public centric commissioning

  2. Rights for access

  3. Care navigators and patient advocates

  4. A 24/7 workforce

  5. Confident caring

  6. Realising digital

  7. Integration across the whole health economy

  8. Outcome based commissioning

  9. Annual report card

  10. Patient experience influencing performance management