Education And Debate

Funding the NHS Can the NHS cope in future?

BMJ 1997; 314 doi: (Published 11 January 1997) Cite this as: BMJ 1997;314:139
  1. Anthony Harrisona, fellow in policy analysis,
  2. Jennifer Dixona, fellow in policy analysis,
  3. Bill Newa, research officer,
  4. Ken Judgea, director
  1. a Policy Institute King's Fund London W1M 0AN
  • Accepted 21 November 1996


Four potential pressures are likely to determine whether the NHS will be able to cope in future: the change in population structure, changes in level of morbidity, introduction of new technologies, and increasing expectations of patients and NHS providers. New technology and changes in expectations are likely to have the biggest effect and are also the most difficult to quantify. Nevertheless, these pressures are to some extent amenable to control. If the growth in funding continues as it has in the past there is no convincing evidence that the NHS will not continue to cope.


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