The BMJ Commission on the Future of the NHS addresses the challenges of funding and stability in the National Health Service (NHS). Over the past 75 years, NHS spending has grown significantly, driven by population growth, medical advancements, and higher inflation. Despite these increases, the NHS faces financial pressures, including rising costs and declining public satisfaction. The commission recommends maintaining the current funding model, primarily through taxation, to avoid disruptions and maintain administrative efficiency. It also proposes establishing an independent Office for NHS Policy and Budgetary Responsibility to provide unbiased reports on health and healthcare, monitor performance, and inform strategic planning. The commission suggests a five-year strategic plan with detailed financial settlements and a provisional settlement over five to ten years. Additionally, it calls for immediate financial intervention to address the current funding shortfall, particularly in capital projects and reducing waiting times. These recommendations aim to ensure the stability and sustainability of the NHS while improving its performance and public satisfaction.The BMJ Commission on the Future of the NHS addresses the challenges of funding and stability in the National Health Service (NHS). Over the past 75 years, NHS spending has grown significantly, driven by population growth, medical advancements, and higher inflation. Despite these increases, the NHS faces financial pressures, including rising costs and declining public satisfaction. The commission recommends maintaining the current funding model, primarily through taxation, to avoid disruptions and maintain administrative efficiency. It also proposes establishing an independent Office for NHS Policy and Budgetary Responsibility to provide unbiased reports on health and healthcare, monitor performance, and inform strategic planning. The commission suggests a five-year strategic plan with detailed financial settlements and a provisional settlement over five to ten years. Additionally, it calls for immediate financial intervention to address the current funding shortfall, particularly in capital projects and reducing waiting times. These recommendations aim to ensure the stability and sustainability of the NHS while improving its performance and public satisfaction.