I worked for nearly 15 years in the NHS, leaving a few years ago but I still work closely. Firstly, i wouldn?t conflate the administrative staff in hospitals with the national bureaucratic lot in NHSE. They do a sterling job of keeping needless tasks away from clinical staff and there isn?t enough of them, hence the poor experience.

The NHSE and ICB lot are a different kettle of fish and their roles are becoming less and less needed when they have merged CCG?s and other corporate functions with NHSE. However make no bones about it, this isn?t massive change. About 3,000 corporate jobs to go in a workforce of ?1.5 million. It?s not even going to be noticed by the tax payer or improve your experience when you receive care.

What the NHS has needed for years is well spend invest to save schemes. Like buying pharmaceutical companies instead of paying through the nose for medicines. Creating IT infrastructure instead of paying millions to buy it in. Sadly whenever there is investment into the NHS, it is being spent to help it cope or survive rather than reform. A standard pay increase in the NHS costs billions so when you hear of multi billion pound investment, it?s actually just to keep it running. It needs incredible amounts of money to reform.