Professor Alan Maynard on managing demand and perverse incentives, and the need for major change in primary care.
Compared to the cuts in local councils’ budgets, the NHS financial challenge could be viewed as modest. However, life is complicated by The Lansley’s re-disorganisation of the NHS which is reducing management capacity and destroying historical memory.
What is remarkable about the Nicholson challenge is its focus on the reduction of hospital care by mergers and closures and the need to develop “community care”.