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Trust vs efficiency

Why is it that the NHS can deliver the goods, and yet still not command public trust?

Trust in public services is in decline, when we might expect it to be on the increase. Consider the NHS. Spending is at its highest ever level. Waiting lists have fallen by about two thirds overall since 2001. The King’s Fund, often a critic of government, concludes a recent review: “Increased funding has bought more staff and equipment and… helped reduce waiting times to an historic low.” The number of procedures carried out has roughly doubled. Information on the treasury performance website provides more evidence on what is happening than ever before.

Yet while the NHS scores high on competence…

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