Ex-Health Secretary Sajid Javid suggests patients should pay for GP appointments and A&E visits, calls NHS model ‘unsustainable’
Former Health Secretary Sajid Javid has said that “extending the contributory principle” should be inculcated in the radical reforms required to tackle the growing crisis in the country’s health system.

In an opinion piece for the Times, Sajid Javid called for a “grown-up, hard-headed conversation” about restructuring the NHS while also stating that “too often the appreciation” for the health service has become a religious fervour and a barrier to reform. Downing Street also told the paper that UK Prime Minister Rishi Sunak is not “currently” considering the proposals on health service.
But, it is to mention that during his campaign for the Tory leadership, Rishi Sunak has introduced plans to issue a fine of £10 to patients who miss GP or hospital appointments. He, however, backtracked on his pledges following staunch criticism from the health leaders. This hinted towards the controversy clouding any possible reforms that could affect the principle of free NHS care when in need.
In his piece, former health secretary Sajid Javid said that the NHS’ only rationing mechanism, which is to make people wait, should be replaced by means-tested fees while “protecting those on low incomes”. Javid further wrote that “we should look, on a cross-party basis, at extending the contributory principle”. He elaborated that the conversation regarding fees “will not be easy” but it will help the health service ration its finite supply more effectively.
FAQs:
Who is Sajid Javid?UK politician Sajid Javid served as the Health Secretary from June 2021 to July 2022.
National Health Service in the UK.
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