Power to the people: the mutual future of our National Health Service

Document type
Girach, Mo; Sikora, Karol; Wildman, Adam
Date of publication
1 May 2014
Health Services
Social welfare
Material type

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The NHS, which was established to combat acute diseases like tuberculosis or polio, is simply not designed to treat those with the modern chronic conditions associated with ageing and flawed lifestyle choices. It has long been proven that the most effective way of treating these more complex conditions is to provide whole-person care that caters for the needs of the patient in a holistic fashion. For such care to take place, the delivery of healthcare needs to be organised in an integrated fashion so that it is able to cope with the complex and multivariate causes of modern chronic conditions. The healthcare system as it is currently structured is, however, far too bureaucratic and fractured to cope.

This report argues that integrated care can most effectively be delivered by health mutuals. These are owned exclusively by patients, and are naturally democratic and benevolent. As such, they are in a perfect position to offer or coordinate integrated care in a collaborative fashion. Not only this, all mutuals operate in the competitive space and could increase patient choice through the imposition of further competition.

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