Reaffirming our commitment to the NHS is needed now more than ever

The BMJ Pub Date : 2024-11-29 DOI:10.1136/bmj.q2688
Victor Adebowale, Parveen Kumar, Liam Smeeth
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Abstract

There have been at least two independent commissions on the NHS—The Times and The BMJ—in the past year. Recently Ara Darzi’s report on the current state of the NHS was published. Although the findings of these commissions and Darzi’s report were not a surprise, it is devastating to read of a system so stretched that in some places it is beyond breaking point. While the diagnosis is straightforward, the solutions are sadly not. The BMJ’s Commission on the Future of the NHS was established from the perspective that a high-quality health service free for all at the point of care is too precious to be allowed to fail.1 Our aim was to identify the key challenges, but crucially to make recommendations targeted at ensuring that the vision of the NHS is realised. #### The acute response: Where do we begin? The BMJ commission recommended a relaunch of a new NHS as a whole country effort, with all the different stakeholders uniting in support of a high-quality accessible health service free at the point of care.2 We also recommended a cross-government and cross-sector strategy for health, care, and wellbeing. As part of this new approach, the commission proposed that an Independent Office for NHS Policy and Budgetary Responsibility for England be established to provide unbiased, robust reports on health and healthcare.3 A five year detailed strategic plan needs to be created, supported by a robust financial settlement over five to 10 years. However, to tackle the current NHS crisis, the commissioners recommend that we need an immediate cash injection of £32 billion (£37 billion was recommended by the Darzi report) to recover the loss of investment over the decade from 2010 to 2020, in order to help tackle the surgery …
现在比以往任何时候都更需要重申我们对NHS的承诺
在过去的一年里,至少有两个独立的nhs委员会——《泰晤士报》和《英国医学杂志》。最近,Ara Darzi关于NHS现状的报告发表了。尽管这些委员会的调查结果和达兹的报告并不令人惊讶,但读到一个如此紧张的系统,在某些地方已经超出了临界点,这是令人震惊的。虽然诊断是直截了当的,但令人遗憾的是,解决方案却并非如此。英国医学杂志国民保健制度未来委员会的建立是基于这样一个观点,即在护理点上向所有人免费提供高质量的医疗服务太宝贵了,不能让它失败我们的目标是确定关键的挑战,但最重要的是提出建议,以确保NHS的愿景得以实现。####急症反应:我们从哪里开始?《英国医学杂志》委员会建议在全国范围内重新启动新的国民保健服务体系,所有不同的利益相关者团结起来,支持在护理点免费提供高质量的卫生服务我们还建议制定一项跨政府和跨部门的卫生、保健和福祉战略。作为这种新方法的一部分,委员会提议设立一个独立的英国国民保健服务政策和预算责任办公室,以提供关于健康和医疗保健的公正、有力的报告需要制定一项五年详细的战略计划,并在五到十年的时间里得到强有力的财政解决方案的支持。然而,为了解决目前的NHS危机,委员们建议我们需要立即注入320亿英镑的现金(达兹报告建议370亿英镑),以弥补从2010年到2020年的十年投资损失,以帮助解决手术……
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