In this episode of Prevention is the New Cure, former Health Ministers Steve Brine and James Bethell sit down with Sir Jim Mackey, Chief Executive of NHS England, for a wide-ranging and candid discussion about the future of the NHS.

Sir Jim addresses the crisis facing NHS demand, the limits of hospital-centric care, and why prevention, neighbourhood health systems, and disruptive reform are essential if the NHS is to survive the next decade.

🔍 Key topics include:

• Why the NHS “can’t carry on doing things the same way”
• The reality behind the 10-Year NHS Plan
• Shifting funding from hospitals into community and preventative care
• The future of GP health checks — and why GPs are divided
• Can prevention really reduce demand on hospitals?
• NHS productivity, technology, and patient-owned data
• Lessons from Northumbria’s whole-system health model
• The role of community pharmacy in prevention
• Resident doctors’ strikes and workforce morale
• Maternity safety, regulation, and patient trust
• How political instability impacts NHS decision-making
• oh and his beloved Newcastle Football Club!

This episode goes beyond slogans and gets into the hard trade-offs facing health leaders: money, workforce, culture, and whether the NHS can truly shift from crisis response to prevention.

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