I can't help but think that the NHS needs a Royal Commission (completely independent of politics) to review what it is for.
It can't be all things to all people unless we (the taxpayers) are prepared to pay huge amounts of tax. It was founded on this basic principle “Not only is it available to the whole population freely, but it is intended . . . to generalise the best health advice and treatment.” However, time and medical science have moved on.
It now provides for things such as IVF, organ transplants and gender reassignment, it provides care and drugs for people with terrible diseases and extends their life. Some of these things could not have been dreamed of when it was inaugurated but the NHS has adapted to provide for them. It cares for people when they have no hope of survival.
All of this takes money and resources.
Should the NHS continue to provide drugs such as paracetamol, free to people when a pack costs pennies at the supermarket? It won't be costing the NHS pennies when the time to order, verify, store, distribute, prescribe and dispense is considered.
Should the NHS provide free care for those injured playing professional sports when there seems to be an obscene amount of money in some sports?
Should it spend money on more and more managers, all of whom can, I am sure, justify themselves but who face no real sanction if they fail? Look at the situation with Lucy Letby, concerns were raised but disregarded by managers who then simply moved on to the next job.
Someone needs to be brave, appoint a commission and enshrine in law the findings.
Above all, the NHS should not have any involvement at all from politicians of any party at all. The government of the day should allocate 100% of the NHS budget to the care of the NHS Chief Executive and let them get on with their job and stop getting involved in things they don't understand!
Rant over!