ArticleGovernment and national bodies take charge of decision-making as NHS crisis grows
In this article for the British Medical Journal, Chris Ham reviews fundamental changes in how services are managed and where decisions are taken, as concerns continue to grow about deteriorating performance in the NHS.
Comments
There is a profound disconnect between what the PM Cameron has recently said about prisons with what passes for policy from the DH. One must wonder what freedoms to innovate prison governors need that should be denied those running hospitals for instance.
The policy logic looks desperate, while the implementation instruments not fit for purpose. Perhaps the lights are out?
This very expensive means of building hospitals should be (a) avoided in future, and (b) outstanding debts should be transferred to the National Debt.
Add your comment