Health Systems in Transition: What the NHS Mandate Reveals About Global Reform
Governments worldwide are rethinking how health systems work. In high-income countries, there’s a growing push for care that is more local, digital, and prevention-focused trends accelerated by COVID-19. These priorities align with the World Health Organization’s pillars for strengthening health systems, including strong primary care, digital access, and prevention as central to universal health coverage. In January 2025, the UK government released Road to Recovery: The Government’s 2025 Mandate to NHS England . While focused on England, its themes reflect broader global shifts also underway in countries like Canada, Australia, and New Zealand. This alignment signals a global shift in health systems with wide-reaching implications beyond national borders. A Global Pattern in Health System Reform Despite differences in structure and funding, many countries are pursuing similar priorities: Care closer to communities General practice, pharmacy, and neighbourhood teams are p...