NHS issues Ageing population -Reason: a lot of medical advancements lots of experimental trials , more on prevention over cure, palliative care in place, more conditions presented with-Population is going to grow exponentially and it is unlikely the number of HCP is going to grow linearly ultimately meaning they have more people to treat may reduce the amount of time and care that can be given to each individual -NHS victim of its own success -Frailer population more likely to result in falls, disabilities and require need for long term care. More likely to present with complicated and expensive conditions. -Co-morbidities, more likely to develop dementia require extra social care not always available resulting in bed blocking may only need help with ADL’S activities of daily living but are mentally sharp, more difficult when rationing treatments so consider QALY’s 1 QALY is 1 year in good health-Effect is longer waiting list time, greater burden and use of NHS resources so question on sustainability -Social care crisis with a lot of understaffing and underfunding and NHS more vulnerable to this during the winter when falls and infections are more likely due to the cold weather-Taxes are going to rise alongside this tooTo combat this:-NHS England in partnership with age UK in raising awareness and thinking of potential solutions. -Need to recruit and train more doctors in geriatrics and appeal the role and advertise it so the posts are filled -Need upstream prevention of long term chronic conditions like diabetes, COPD like public health campaigns, patient education and patient engagement has to be a two way process. -Patients need to actively take responsibility over their health Growing population -Similar to above -More diseases presented with overall Funding problems -Cost has always been a problem with research, trials for treatments medical advancements, ageing population with more diseases, cost of drugs and pay to staff is continually increasing.