Intended for healthcare professionals

NHS at 70

NHS at 70

The BMJ is running a series of articles and opinion pieces reflecting on the health of the NHS as it approaches its 70th birthday on 5 July 2018. As well as looking at what the NHS has achieved over the 70 years it has been in operation, The BMJ's coverage will also consider how the NHS might need to change to face the challenges that lie ahead.

Key articles

What is the NHS’s greatest achievement?

Since launching in 1948, the NHS has won an admiring audience the world over, and its endurance should be celebrated. In April, The BMJ called on readers to nominate what they think is the NHS’s most important achievement and we received a huge range of responses. Those ideas were compiled into a shortlist and to help readers decide, we asked some experts to make the case for why each of these nominations deserved to be in the running.

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And the winner is . . .

“Providing care based on need and free at the point of delivery” was voted by readers as the NHS’s greatest achievement in its 70 years.


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The NHS at 70: Loved, valued, affordable?

How is it possible to sustain the NHS and retain its core principles? John Appleby and Kamran Abbasi discuss 10 questions on the future of the NHS

 

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“Doing better, but feeling worse”: doctors’ relations with the NHS

Nicholas Timmins looks at how the medical profession’s relationship with the health service, and the different governments that have run it, have evolved

 

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The NHS can fly the flag in post-Brexit Britain

Raising productivity in the NHS will spur economic growth, says Mark Britnall

 

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Medical leaders have their say on NHS’s greatest achievements

Medical leaders from a range of specialties put forward their suggestions for the NHS's most important achievement

 

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The NHS at 70: the power of individual stories

Public passion for the NHS has built up defensively, in response to perceived threats under successive governments, says Jennifer Crane

 

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Doctors need to give up professional protectionism

As the radius of practice has decreased, so more and more gaps have appeared in the fabric of healthcare. In filling these gaps the boundaries of practice must be clearly defined, says Clifford Mann

 

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The consultant on-call system is an extravagant waste of money

Consultants make less of a difference out of hours than is generally thought, says Louella Vaughan

 

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The NHS at 80? How it might look in 2028

Jan Filochowski imagines what the future NHS might look like and where it is heading

 

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NHS’s greatest achievement after 70 years: The BMJ shortlist

The NHS turns 70 on 5 July 2018, and The BMJ wants your vote on the health service’s biggest success story to date. Tom Moberly reports

 

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GPs must embrace technology

Patients will expect a “new normal” in their interactions with general practice, argues Clare Gerada

 

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Nursing—the wave of the future

Medicine will be enhanced by nurses taking on greater responsibility, says Nigel Crisp

 

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The migrant care law and its implications for the NHS

Locally trained doctors tend not to want to work in areas of high deprivation and need, and we continue to rely on foreign trained doctors to fill massive gaps. Medicine should acknowledge this historical trend, writes Julian M Simpson

 

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The NHS owes doctors who trained abroad an apology for racism

Racial abuse was ubiquitous but the NHS offered a total lack of support, writes Rajgopalan Menon, reflecting on a 40-odd year career as a GP

 

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Bring outpatients into the 21st century

Give patients a say in the design of new services

 

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70 years of NHS funding debate: how much is enough?

Although taxation is the most efficient funding mechanism, NHS expenditure is a political choice, say Anita Charlesworth and Karen Bloor

 

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What models of funding are best for a healthy and just society?

Mark Hellowell and colleagues assess the options for achieving an adequately funded NHS

 

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The NHS’s slow decline is a preventable disease

And it’s staring us in the face, says Margaret McCartney

 

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Five minutes with . . . Harold Ellis

The surgeon, who qualified the same month as the NHS started, talks about the early years of the health service and how things have changed

 

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The NHS is nowhere near crisis point yet

But there is still much that it could do better, says Ben Page

 

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Providing care based on need and free at point of delivery is NHS’s greatest achievement

The BMJ conducted a poll to mark the NHS’s 70th. Tom Moberly examines the results

 

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Jennifer Crane: Whose needs? Histories of “need” in the NHS

This concept of need is a historic one, embedded in the very inception of the NHS

 

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The NHS at 70: many happy returns?

Perhaps the NHS's greatest achievement is its sheer survival

 

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Mass medicalisation is an iatrogenic catastrophe

Profligate prescribing has brought a hidden epidemic of side effects and no benefit to most individuals, says James Le Fanu

 

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Back to the future: aspects of the NHS that should never change

Not all change is good, writes Iona Heath, pointing out the aspects of the NHS that should be preserved

 

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Healthcare outcomes and quality in the NHS: how do we compare?

Azeem Majeed and colleagues examine what the NHS needs to focus on to achieve better health outcomes