This article uses an examination of the changing boundaries between the public and the private in health-care to argue that developments of a transformative character are taking place in the NHS. Rather than fo cusing on principles such as comprehensiveness and universality, it con siders the collectivism of funding and the production of health-care to be the central features of the NHS in 1948. It is these which are now being eroded. This exploration does not confine itself to policy measures but considers the changing political dynamic within and around the NHS and its changing culture to be significant factors in current and potential change.
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