Following the 60th Anniversary of the founding of the NHS this Think:Public Forum looked ahead to the challenges in NHS commissioning, management and professional, and discussed how the NHS might look at 65. The forum considered the solutions to the challenges and debate and how to maintain a decade of reform. Personalisation and patient choice are now integral to policy; but patients want power to choose a provider and see indicators of provider success in NHS organisations. A modern NHS can overcome these barriers and enable patient choices increasingly to shape supply models and give more power to the providers from every sector that are delivering the best care. This forum was one of the first to consider the implications of Lord Darzi’s ‘Our NHS, Our Future’ review and the NHS Bill announced in the draft Queen’s speech. It examined how the systems underpinning NHS delivery can change in order to transform performance without undermining the established NHS goals of equitable access and treatment free at the point of delivery. Discussing the Government’s latest rules on tendering, Ben Bradshaw MP, Minister of State at the Department of Health said that competition had played an important part in driving up the quality and responsiveness of health services in England and had contributed to shorter waiting times and swifter access. In response, Andrew Lansley CBE MP, Shadow Secretary of State for Health attacked Labour’s “top down” approach as "short-term and uncertain” and that the income guarantees it had offered to private operators meant GPs and NHS trusts had been denied a level playing field on which to compete. <a data-cke-saved-href="http://www.ft.com/cms/s/0/44b5305e-8063-11dd-99a9-000077b07658.html?nclick_check=1" href="http://www.ft.com/cms/s/0/44b5305e-8063-11dd-99a9-000077b07658.html?nclick_check=1" _blank"="">Click here to read article on FT.com