Abstract
The death of the English National Health Service (NHS) has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established. This article reviews some of these claims, and asks for clearer criteria and evidence to be presented.
Highlights
Who killed the English National Health Service (NHS)? Mixing the film ‘Casablanca’ with the board game ‘Cluedo’, let us ‘round up the usual suspects’. Was it Mrs Thatcher with the weapon of competition from ‘Working for Patients’ (1)? Colonel Milburn using ‘Foundation Trusts’? Dr Reid with a full healthcare market of the ‘NHS Improvement Plan’ (2)? Or Rev Lansley changing the role of the Secretary of State in the Health and Social Care Act (HSCA) of 2012? The death of the NHS has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established
Pollock (5) pointed to the HSCA 2001, and argued that ‘unless the legislation is amended, Bevan’s legacy and the principles of universality and comprehensive care upon which the NHS was founded will be destroyed, and the Health and Social Care Bill will be the last act of the NHS’
According to John Lister, it could be said that the NHS as we know it was abolished in April 2013 (p. 17)
Summary
Who killed the English National Health Service (NHS)? Mixing the film ‘Casablanca’ with the board game ‘Cluedo’, let us ‘round up the usual suspects’. Rev Lansley changing the role of the Secretary of State in the Health and Social Care Act (HSCA) of 2012?
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