Letters The three crises facing the NHS in England

NHS money is wasted on short term action rather than fixing the underlying problems

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h5993 (Published 11 November 2015) Cite this as: BMJ 2015;351:h5993
  1. Stephen Black, data scientist1
  1. 1Biggleswade SG18 0QA, UK
  1. steve.i.black{at}gmail.com

The Blair government doubled the budget, but that didn’t keep deficits away for long. Scotland abolished the commissioner-provider split but that didn’t yield better performance or 14% more money.1 Top-down changes and mergers don’t seem to help.2 3 4

This failure of top-down initiatives points …

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