Rhetoric and Reality in the English National Health Service; Comment on “Who Killed the English National Health Service?”

Document Type : Commentary


London School of Hygiene & Tropical Medicine, London, UK


Despite fiscal stress, public confidence in the National Health Service (NHS) remains strong; privatisation has not hollowed out the service. But if long term challenges are to be overcome, pragmatism not rhetoric should be the guide.


Main Subjects

  1. Wintour P. Miliband calls on Tories to reveal ‘secret’ plans. The Guardian. May 4, 2015:7.
  2. Lafond S, Charlesworth A, Roberts A. Hospital finances and productivity: in a critical condition? London: The Health Foundation; 2015.
  3. Appleby J, Thompson J, Jabbal J. How is the NHS performing: Briefing.London: King’s Fund; 2015.
  4. National Health Service (NHS) England. Five Year Forward View. London: NHS; 2014.
  5. Gardner T. Swimming against the tide? The quality of NHS services during the current parliament. London: The Health Foundation; 2015.
  6. Appleby J, Baird B, Thompson J, Jabbal J. The NHS under the coalition government: Part 2. London: King’s Fund; 2015.
  7. Gerschlick B, Charlesworth A, Taylor E. Public Attitudes to the NHS. London: National Centre for Social Research; 2015.
  8. National Health Service (NHS) England. Statistical Bulletin: 2014 A & E department survey update. London: NHS; 2014.
  9. Klein R. The NHS and the theatre of inadequacy. Higher Education Quarterly 1983;37(3):201-215. doi:10.1111/j.1468-2273.1983.tb01362.x
  10. Powell M, Millar R. Privatizing the English National Health Service: an irregular verb? J Health Polit Policy Law 2013;38(5):1053-1061. doi:10.1215/03616878-2334918
  11. King’s Fund. Briefing: Is the NHS being privatised? London: King’s Fund; 2015.
  12. Centre for Health and the Public Interest (CHPI). The contracting NHS - can the NHS handle the outsourcing of clinical services? London: CHPI; 2015.