Windmill 2007: The future of health care reforms in England

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The NHS has undergone many reforms over the past decade.

To test out where the reforms – and interactions between them – might lead the NHS, The King's Fund formed a partnership with Loop2, Monitor and Nuffield Hospitals to produce Windmill 2007.

This initiative included a two-day simulation of a fictional but realistic health economy from 2008 to 2011 and extensive discussions of the emerging findings from that event with clinicians, managers, policymakers, regulators and analysts. The paper discusses what lessons can be learnt from the simulation and what messages there are for the health system of the future.