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Today may be the most difficult day the NHS has ever experienced. The headlines will focus on the pressures created by the heatwave and that most visible sign of healthcare failure-ambulances queuing outside hospitals. 1 But, as readers of The BMJ and HSJ know all too well, this brutal situation is the culmination of many factors, which include but are not limited to prolonged periods of underfunding in the past decade, 2 lack of an adequate workforce plan, 3 4 and a cowardly and shortsighted failure to undertake social care reform. 5

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To protect the NHS, the UK government must abandon plans for household mixing

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