Abstract
This article argues that New Zealand (NZ) could be an important case for drawing health system reform lessons from for the English National Health Service. Reasons for this are outlined, including the close similarities between the two countries and their health systems. The article describes the diverging health reform agendas of conservative governments in both countries, noting a series of lessons for England that might have been drawn from NZ. Explanations for the differing reform agendas are then offered.