We need a contract between the public and the NHS that focuses on prevention

Cunnett and Smith argue for a new public conversation about the NHS.1 But we must go further than they suggest.We need a new “contract” between the public and patients and the NHS, and to review medical care in the last phases of life (fewer drugs and more care). We also need to be realistic about what a publicly funded service can offer—slightly restricted but high quality responsive care, or an inequitable and failing attempt to offer all possible treatments? I would add that a focus on prevention that involves the community, as well as public health measures, legislation, and primary and secondary services, is essential if we are to save the NHS.
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