Wednesday, July 1, 1998 Published at 14:12 GMT 15:12 UK
How will the NHS change in the next 50 years? BBC Health Correspondent Richard Hannaford believes patient power is going to radically alter the way healthcare is provided in the UK. Doctors and nurses, he argues, will be cast more in the role of advisors.
Nowadays, family doctors have more say over what happens to people with illnesses, while some nurses are now able to diagnose and prescribe treatments to their own patients.
The main reasons for this change are to do with new treatments, new technology, and the changing face of UK society.
Keyhole surgery will become the norm - with computers mapping a patient's body and guiding the surgeon's laser to the exact point needed. Indeed, some operations could be performed by computers on their own - with doctors monitoring the situation in case of an emergency.
Information technology will also have an effect. With the growth of data sources like the Internet, patients will find themselves with just as much information, and possibly more, than their family doctors and practise nurses.
Access to information
Already many GPs have told me of patients walking into their consultation rooms armed with sheaves of documents they've pulled off the Net which list the latest developments to do with their particular condition.
With more information about the standards of care available to them, patients will expect to have more choice over the type of treatment they can receive and where they receive it. Because of this, doctors and nurses will become more like guides to patients, offering them advice on the different treatment options available.
Two other changes will have an impact on the shape of the NHS. Medical experts now believe that high standards are best maintained in regional centres of excellence.
That, combined with the philosophy of providing more care in the community, will mean that many smaller hospitals will close and a network of larger regional units may be established.
The other factor is the growing number of elderly people living in Britain and the consequent increase in the diseases and chronic conditions that afflict that section of society.
It has become almost a party game amongst health analysts and professionals: guessing what the National Health Service will be like in the year 2048.
The fact that it will still exist, excluding the possibility of a natural or man made disaster, is, however, no longer raised as a serious question.
It is now assumed that the principle of a tax-funded health service, free to its citizens, and offering care for all conditions and diseases, is firmly embedded in the British psyche.
Any political party attempting to change could face disaster at the polls.