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Illness is neither an indulgence for which people have to pay nor an offence for which they should be penalised but a misfortune the cost of which should be shared by the community Bevan nd cited in Aylward 20116 In 1948 the NHS was launched to become the largest publicly funded health service in the world NHS 2013 however as life expectancy increased dramatically and is believed to rise by another 41 years for men and 38 for women by the year of 2032 Hicks Grahame 1999 the demands for more health social care and financial resources have increased rapidly In 1997 the UK had spent 6052 billion pound in public health care which increased by the outstanding amount of 2485 billion pounds in 2011 Nuffield Trust 2013 According to Appleby 2013 if this pattern continues one fifth of the UKs wealth will be needed to provide health and social care Unjustified variations of healthcare quality increase in treatment costs and poor health outcomes compared to other countries make the case for change justified Department of Health DOH 2012a The NHS however has attempted numerous of times to reform since its birth but has failed to deliver what the proposed legislation had offered Iles 2011 The government identified the long listed issues in our current health system and once again formed new policies with the hope of change Gordon Brown asked Lord Ara Darzi a surgeon of the NHS to review the advancements in the NHS since the NHS plan in 2000 and write a report Lord Darzi 2007 achieved this by asking the public patients and staff on their thoughts on the NHS He felt the main focus should be on resolving the issues revealed by patients and the public rather than changing the NHS funding or structure so he set up a variety of patient groups from health and social care across the United Kingdom to discuss how to achieve the
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