This year, we have seen the restructuring of the National Health Service, with the creation of dozens of new bodies and the abolition of dozens of others, just as spending is under pressure as never before.
The Children’s Improvement Board has identified three “signatures of risk” for services, and they apply directly to the NHS: the implementation of complex transformation; the need to make substantial savings; and the use of process-based performance indicators (i.e. waiting lists).
No doubt everyone concerned has done their best to ensure the changes will work smoothly, but I’m not optimistic that it will do as well as the government hopes.
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