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The NHS is broken: We need to change how our healthcare system works and join the 21st century
  1. Stephen H Boyce
  1. Emergency Medicine Department, Glasgow Royal Infirmary, Glasgow, UK
  1. Correspondence to Dr Stephen H Boyce, Emergency Medicine, Glasgow Royal Infirmary, Glasgow, G4 0SF, UK; steveboyce_scotland{at}

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The NHS is broken. The NHS workforce know this. When will politicians accept it? COVID-19 placed significant stress on the NHS. However, COVID-19 did not break the NHS. It was the final straw that broke an already creaking service. Before COVID-19, the NHS operated at greater than full capacity with no resilience in the system. This was evident every winter. To continue treating COVID-19, we created hospital capacity by cancelling elective work, …

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  • Handling editor Simon Carley

  • Contributors SHB wrote the letter himself.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.