From one of the world’s most expensive and complicated surgeries to a full-scale one-day operation, NHS England is in full swing.
It has a new CEO, its first director of the National Health Service and it is struggling to cope with the demand for emergency care.
But how will it cope?
The NHS is running at a huge deficit, the Government is struggling with the fallout from the Panama Papers, and its finances are under growing scrutiny.
The BBC’s Mark Lowen meets the chief medical officer and head of surgery to get the inside story.
A week after the Panama papers revealed the extent of the NHS’s debt, the UK’s chief medical officers have been forced to resign over the scandal.
And the Government faces a fresh row over its handling of the crisis as a series of MPs called for urgent action to fix the problems caused by the financial crisis.
The first day NHS England had to make decisions on whether to open the doors to the public To start, they needed to know what was going on.
What was happening to the NHS?
NHS England says that it has a budget surplus of £1.3bn but this is not a normal budget.
That means the NHS has an extra £1bn in its accounts that can be used to fund urgent care.
There are also huge gaps in the health service budgets, meaning that the NHS is spending much less than it needs.
What are the reasons for this deficit?
The problem with the UK NHS is that it’s running at such a deficit that the only way for the NHS to be able to pay for urgent care is to borrow money from the private sector.
It needs to borrow some money because the NHS already has the highest debt burden of any health service in the world.
There is a problem with this because the public sector is borrowing so much money that it can’t pay its bills.
What can be done about this?
A series of NHS reforms were put in place in April last year.
One of the first changes was to the way in which the health services budget is spent.
Instead of borrowing money to pay bills, the NHS could borrow money directly from the public purse.
The idea is that the private sectors can borrow money and the NHS will then be able take out loans from the UK Treasury.
What happened in May?
On May 7, the first day the NHS opened to the general public, the private health sector raised £1,924,822 from private sources.
That was enough to pay off all the debt owed to the government.
It is now estimated that the deficit in the NHS budget will be £3.6bn by the end of the year.
How has this affected the NHS in the past?
In the past, the health system has had to rely on the private markets to pay its debts.
But as more people have moved to private health care, the public services have been stretched.
The gap between the private and public sectors has been growing since the 1980s, according to the Institute of Fiscal Studies.
What is going on?
What has happened to the private market?
In May last year, the Treasury announced that it would begin the process of winding down the NHS.
The move is part of a wider Government drive to save £1 trillion in health spending over the next five years.
But that would mean the NHS would be facing a huge financial challenge.
How does this affect the public health system?
Public health services have seen their funding fall dramatically over the past five years because of the financial crash.
The NHS relies on private providers to pay their bills, but the private firms have to be paid back by the public.
So, if the NHS runs out of money, the amount of money the NHS must borrow from the taxpayer will have to rise.
The Treasury says that the government would be borrowing £8.8bn from the general treasury.
How is this money being spent?
NHS spending is estimated to be £1 billion less than the £1billion budget surplus in April.
But it is not enough to meet the NHS debt burden.
It will also have to borrow more money from private providers, which will also lead to further pressure on the NHS finances.
What happens next?
On June 8, the government plans to announce a further round of cuts, as part of the government’s package of measures to cut public spending.
That includes reducing the amount that the public can borrow from it will be frozen.
There will also be new spending cuts to the care sector, which is the sector responsible for paying for the private healthcare sector.
What do the experts say?
Professor Matthew Goodwin, the director of economics at the University of Cambridge, says that there are several ways that the cuts could affect the NHS and that the Government has a choice to make.
“They could simply reduce the level of borrowing,” he says.
It is not clear to me that they can do so without hurting the public service and