There is a growing realisation amongst senior managers in the NHS that the future level of NHS resources are inextricably linked to the ability of the British economy to grow – or not. There is also a tight political boundary drawn by the fact that I cannot see any political party standing on a platform of charging for NHS services and winning general elections in 2015 and 2020.
So the good news is we will continue to have a system that is only paid for out of taxation.