As the National Health Service celebrates 75 years, this book reflects not only on its successes but also on its challenges. Society, medicine and technology have all changed considerably since its founding in 1948 so what can, and should, the NHS do to adapt to remain fit for purpose? This thought-provoking book is made up of interviews with healthcare leaders, policymakers and practitioners, journalists and patient representatives. Bookended with chapters linking the interviews with the history and the future of the NHS, the book addresses questions such as: What are the NHS’s strengths and weaknesses? How could the NHS be adapted and how should it be set up if founded today? How should the NHS recognised the relationship between physical health, mental health, social care and public health? How should the NHS be funded? How do we understand the social contract between patients, medical and allied professions and the government? How can we manage workforce development? How should the NHS address issues around social justice and equity of access? Timely and important, this book promotes debate and critique around key issues in managing healthcare. Relevant to all those working in the NHS, it is also a valuable contribution for healthcare professionals undertaking further study on management and leadership. All royalties from this book are being donated to The Patients Association.