Edward Everett Root Publishers Co. Ltd.


‘Coming, Ready or Not!’

The Realities, the Politics, and the Future of the NHS.
Reflections on the potential of consumer power to renovate health care.

​John Spiers

About this book 

The critical challenges to the British NHS are the consequences of us all living longer, having to manage chronic conditions over time, expecting and demanding more, and being denied many innovative new drugs (notably, for cancer) which cannot be afforded at present by the too narrowly funded NHS. This needs to be changed, in line with more successful funding systems in Europe, Australia, and the Far East, where outcomes are much better than in the UK.

This radical new book offers economic solutions based on direct financial incentives to the individual to care for themselves better, to save and invest in future funding, for a much broader funding base including the greater use of insurance, and to ask government to re-appraise the system urgently. It will be controversial, and will spark lively new debate, as well as serving as a student text for courses concerned with healthcare, and clinical practise.

With a foreword by Professor Philip Booth, St. Mary’s University, Twickenham.

About the author

John Spiers has been a Prime Ministerial Adviser and has held senior national and local appointments, including being a member of the National Care Standards Commission and Chairman of the Patients’ Association. He was also Chairman of Brighton Health Authority, and of Brighton NHS Trust, &c.


“John Spiers has the gift of presenting complex ideas clearly.” - Professor Michael Connolly, University of Glamorgan.

ISBN 9780954207519  Paperback   £6.99*     Order
ISBN 9781911204039  Hardback    £65.00     Order
ISBN 9780954207595  eBook          £32.00     Order
​​* Reduced May 2020

234 x 156mm.   336pp.