In my opinion the NHS can only get worse on its current model. It was created with the idea of providing core, essential health care. As the definition of health has widened so has our expectation of what should be covered on the NHS, forcing the budget to be spread very thinly.
Life expectancy has increased massively, as has the birth rate. Many of the services we recieve on the NHS now never even existed at its creation or even 30 years ago.
I've always worked for the NHS and am passionate about universal health care for all but I do think we have reached a point where it needs to be either stripped back to a much better basic service (topped up your self privately) or a much higher NHS specific income tax - consideration would need to be given to equality in care for those on lower incomes.
When I look at my tax and NI contributions I cannot think that they cover the yearly cost of healthcare provision for me and my two children and we aren't big users. In my view more money could (and should) come out of my leisure budget to pay for vital health care for me and my family. We aren't wealthy, we've just gone down to one car as we can't afford two. But we can afford the odd take away / UK holiday and in my mind morally that money should go into our own health care provision before luxuries and treats.
Private health care isn't the answer as it rarelys covers any emergency care we might need, childhood vaccinations etc plus we would still have to use A&E, and it rarely covers things like intensive care.
I'm very passionate that the skills, experience and knowledge of NHS staff is second to none (i am not clinical so I am not singing my own praises here!). I would prefer to pay more for my NHS care knowing that's exactly where that proportion of my tax was going and that the staff treating me recieve better pay and working conditions to do this.
As an aside, every single trip we have had to A&E in our family (bar one fall requiring stitches) has been because the GP surgery have been unable to see children with tonsillitis, ear infections etc until its got so serious that weekend urgent care is required. Personally I feel it is access to urgent non-emergency care is where the pressure lies at the moment.