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NHS: time to look once more at structural overhaul

After the 2012 disaster many said “never again,” but fundamental reform must happen

By Bob Kerslake  

Photo: Peter Byrne/PA Wire/PA Images

Much has been written about the funding issues facing the NHS at 70. Much less has been said about reforming NHS structures.

If we want to create an NHS that is truly sustainable for the future, however, we do need to look again at how it is organised. What we have now is palpably not fit for purpose.

The 2010 coalition government quickly established a programme of ambitious reform across pretty much the whole of the public sector. This was in part driven by austerity…

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