How to Save the NHS in 1000 Days: Adopting a Dutch-style social insurance model for healthcare sets out a clear and practical roadmap for implementing a new universal healthcare system in England, modelled on the world leading Dutch social insurance model. This builds on the recommendations Policy Exchange made in our 2025 report The NHS – a Suitable Case for Treatment?.

Policy Exchange’s proposed reforms are designed to secure the future of the healthcare system in England, protecting the aspects of it which people value most, such as being available to all on the basis of need, while creating a far more responsive system which puts patients in control and delivers better healthcare at a sustainable cost.

The report includes a Foreword from the architect of the Netherlands healthcare system, former Netherlands Minister of Health, Welfare and Sport Hans Hoogervorst.

In his Foreword to the report the architect of the Dutch healthcare system, former Netherlands Minister of Health, Welfare and Sport Hans Hoogervorst said:

“It is high time for a serious conversation about the future of healthcare provision in the UK.

“That is why I very much welcome this excellent paper from Policy Exchange setting out a practical, realistic and much needed Roadmap for reforming this country’s healthcare system.

“Our experience in the Netherlands was that you can only achieve sustained improvements in health outcomes and value for money by getting the system right, making sure the incentives work and putting patients in control.

 “The result of the changes we made the Netherlands now has one of the better healthcare systems in the world. New providers have entered the system, resources are better targeted and more efficiently used, patients get seen sooner and are provided with great treatments over which they have more choice.”

The launch of this report was covered by:

• The Critic
• POLITICO’s London Playbook