The venerable Washington-based Commonwealth Fund has given the National Health Service high rankings in a study comparing the health-care systems of eleven developed nations, including USA, NZ, Canada, France, Sweden and Germany. The NHS came top overall and top for effective care, safe care, coordinated care, patient-centred care, access despite cost and efficiency. Furthermore, out of 11 only Sweden and New Zealand were cheaper in cost per head. That said the UK came 10th out of 11 on the "Healthy Lives" measure. France was top, with Sweden second and USA last.