Malcolm Grant

NHS protests

By Sarah Neville

Comments to the FT from one of the most important figures in the NHS this morning ask the most fundamental question that can be asked about the NHS: in an era of austerity can a universal free health service survive?

Malcolm Grant, chairman of NHS England, told us that he thinks a future government will have to consider more widespread user charges in the health service unless the economy picks up.

Grant made clear that he would not support any departure from the defining principle of a free-at-the-point-of-use NHS. But that doesn’t matter – these are macro-economic decisions for government that fall beyond his remit.