HEALTH

An acute problem

With the buffer of NHS England effectively gone, systems and providers will worry that the response to difficult decisions will be to blame local leaders for failing to find frictionless ways of doing more with less, says Matthew Taylor.

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When does determined optimism become self-delusion? This is a question facing many of us in the NHS right now.

In the context of huge organisational change, deep cuts in capacity and unprecedented savings targets at the front line, health service leaders are doing what they always do, trying to find the least worst way of keeping the show on the road while also looking for better ways of organising and providing services.

Matthew Taylor

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