Our healthcare system has been one of the bedrocks of British identity since its introduction by Aneurin Bevan in 1948. It employs 1.2 million people and treats one million people every 36 hours in England alone. It is free at the point of delivery to all UK residents. The Consultant Neurologist proposes reforms for a sustainable future. O’Sullivan’s book Is It All in Your Head? True Stories of Imaginary Illness won the 2016 Wellcome Book Prize.  Chaired by Julian Huppert.