From the advancement of surgical techniques to the rapid development of drugs, medical innovation is paving the way to a future in which people are living longer, better lives with regular and unconditional access to high -calibre, world class healthcare in the UK. But in a world where a majority of the population are not able to access this level of care, can we really define our healthcare system as world class? Vasyl Ruszin explores the meaning of ‘ world class healthcare’ examining how we may work to overcome inequality and inaccessibility within healthcare to allow progression towards a tomorrow where everyone is able to access high- quality primary care.