LSE-Lancet Commission

on the Future of the NHS

The Commission’s main output is an overarching report including a series of recommendations looking to the ‘Future of the NHS’. This is accompanied by a series of background papers which tackle specific issues such as funding, workforce, changing health needs, and health information technology

Published outputs

The LSE-Lancet Commission report and four accompanying Health Policy papers have now been published:


In these politically and economically turbulent times, the National Health Service is facing unprecedented scrutiny and demand. In 2018, the NHS heralded its 70th anniversary. At this critical juncture, it is imperative to take stock and objectively consider the future of our health system. In response, the Department of Health Policy at the London School of Economics and Political Science, in collaboration with The Lancet, has formed a Commission on the future of the NHS.

The UK has experienced one of the highest death rates associated with COVID-19 in the world, whether measured as deaths directly attributable to COVID-19 or by excess mortality. While this was not foreseen when the Commission was established, the Commission now aims to combine an analysis of priorities for the future of the NHS that were identified before the COVID-19 pandemic with additional analysis of the COVID-19 response to derive recommendations that ensure both resilience to further major threats to health and the long-term advancement of the NHS to meet population needs.

A Lancet Commission involves working in partnership with world-renowned institutions and policy experts to focus on far-reaching issues. Each Lancet Commission is different, but all involve a panel of academics who use their collective expertise and draw on input from diverse sets of stakeholders to dissect the driving factors behind the issue at hand, and develop a series of policy recommendations.

There is a historic precedent for major commissions on the NHS. In 1980, the Black Report exposed growing health inequalities across the population. In 2004, the Wanless Report successfully argued for increased funding for the NHS through general taxation. Moving forward, there is a well-defined need for an independent and objective perspective on the NHS, and the LSE-Lancet Commission aims to provide that.

  • During a 36-month period, commissioners from a wide range of disciplines across England, Scotland, Wales, and Northern Ireland are focusing on the pertinent challenges facing the NHS, culminating in the release of a report containing a series of policy recommendations in 2021.

  • As part of this comprehensive project, we announced a Call for Evidence which offered an opportunity for individuals and organisations to submit evidence regarding their perspective on both the major challenges facing the NHS and to suggest any potential innovative solutions.

  • The Call for Evidence attracted submissions from over 100 NHS stakeholders, including many Royal Colleges, patient organisations and public health institutes.

  • This was followed by an Evidence Hearing where organisations and individuals were given the opportunity to present in more detail to the Commission, allowing a wide range of viewpoints to be considered.

  • The Commission involves over 25 commissioners from disciplines including health policy and public health and epidemiology, and incorporates the insights of healthcare professionals and healthcare managers with practical experience tackling the problems the NHS is facing. They are based across England, Scotland, Wales and Northern Ireland, to ensure that lessons from different governance structures and delivery mechanisms are explored throughout the Commission's work.

The LSE-Lancet Commission on the Future of the NHS

The Commission addresses the main challenges facing the NHS in both the immediate future and over the next 10 to 15 years. These issues are wide-ranging, from establishing sustainable funding to securing a sufficient and skilled workforce. Crucially, the Commission also considers recommendations to strengthen preparedness to protect against further acute shocks and major threats to health.The Commission will consider the health inequalities in the population and the difficulties in accessing consistent and high-quality health and social care, while also considering changing health care needs set against the background of shifting public expectations and involvement in health care. The Commission will focus on the information needs of the NHS as well as the role of technology in this context.

Through the Commission and the partnership, the Department of Health Policy will continue a long tradition of the London School of Economics and Political Science: carrying on the legacy of distinguished LSE Director Professor William Beveridge, whose seminal Beveridge Report provided the intellectual underpinnings for the establishment of the English National Health Service. Others such as Professor Brian Abel-Smith and Professor Richard Titmuss followed, who played prominent roles in supporting the continued development of the NHS through the 1950s, 1960s and 1970s.