Intended for healthcare professionals

Letters Healthcare rankings of rich countries

Why the NHS has slipped to fourth in healthcare ranking of 11 richest countries

BMJ 2021; 374 doi: (Published 15 September 2021) Cite this as: BMJ 2021;374:n2250
  1. John Puntis, consultant paediatrician
  1. Leeds, UK
  1. john.puntis{at}

It is disheartening, if not surprising, to see the NHS slipping to 4th in the Commonwealth Fund ranking of healthcare in 11 rich countries.1 The authors of the report cite delays in accessing care and treatment, and lack of investment in the service as contributing factors for this decline.2 Nearly 60% of adults in the UK find it somewhat or very difficult …

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