While the NHS and many other public services need more resources this might not be the best path to big improvements in quality and performance. Not least because deploying extra resources in the wrong place might yield only small improvements. Maybe we should start by spending more on getting the data and analysis required to understand where the biggest problems are and what interventions might solve them. And then focus on installing effective performance management throughout the system s...| policyskeptic
The current proposal by NHSE to replace the 4hr A&E target is muddled and confusing. It isn't strongly supported by evidence. It will, most likely, make the experience of patients in A&E even worse. Worse still, if things do get worse we won't have the available public data to measure the deterioration. If they paid any attention to history or the experts in emergency medicine, they could have done a much better job.| policyskeptic