A huge mindset change by the Media, Government, Political parties and the public would be required to change what the scope of the Healthcare provided by the state should be.

Moving to a free at point of delivery for medical issues that are considered essential healthcare.

This would demand a redefinition of what is considered essential healthcare.

The Healthcare system can provide other non-essential healthcare but a charge would be made, the revenue from which funds that part of the budget and costs of the Healthcare system. Examples of these may be.

1. Fertility Treatment (e.g. IVF): Currently, access is a postcode lottery based on strict criteria. A charge would create a fair, nationwide system.
2. Cosmetic Procedures: Surgeries like breast reductions or rhinoplasty would no longer be free unless there is a clear medical or psychological need.
3. Gender Identity Services: While support for gender dysphoria is crucial, non-essential treatments would incur a charge to reduce long waiting times and free up specialist resources.
4. Complementary and Alternative Therapies: Alternative therapies like acupuncture or chiropractic care would be charged for, ensuring resources are focused on evidence-based treatments.
5. Non-Urgent Dental Care: Routine check-ups and cosmetic procedures like whitening would no longer be free, freeing up NHS dentists for urgent clinical needs.
6. Podiatry and Chiropody: Foot care services would be charged for, except for high-risk patients such as those with severe diabetes.
7. Hearing Aids for Mild Hearing Loss: Providing hearing aids for mild cases would incur a fee, allowing resources to be focused on those with significant needs.
8. Expensive Medication: The supply of extremely expensive medications would be removed from the core NHS budget and funded through an alternative mechanism.
9. Weight Loss Surgery: Procedures like gastric bands would be charged for unless strict eligibility criteria are met.
10. Tattoo Removal: This would be charged for, except in cases where the tattoo causes significant psychological distress.

This approach will not only generate much-needed funds for the NHS but also ensure it stays true to its founding principle of providing care based on clinical need, not ability to pay, while also offering a range of services for those who are willing to contribute.