Public services must be changed, not just funded. This report outlines the new vision for the NHS and state education which would make them more innovative and consumer focussed. The key is to make the public services producers "free–standing, self–owned and independent". They would manage their own budgets and set their own policy and priorities. Parents choosing a school would direct the government funding for their child to the institution they selected. Doctors and patients by choosing a particular hospital for a course of treatment would direct state funds to that institution. State schools, universities and hospitals would be driven by the demands of their customers. The public services would have to improve quality and efficiency.
Individuals should be able to opt out of the state welfare system into an individual, funded and privately managed 'Fortune Account' which will provide lifetime insurance and basic pension benefits. This will allow people to accumulate savings when young, fit and in work, in order to fund their needs in retirement or when unemployed, sick, or disabled.
This paper examines alternative methods for managing the National Health Service.
Published to coincide with the 40th anniversary of the NHS, this report offers an objective assessment of the benefits and deficiencies of the National Health Service, along with a wide-reaching search for new structures that are better able to deliver the sophisticated and diverse forms of health care demanded today, while preserving the ideal of universal access.