the nhs is a political ping pong ball with the political parties all claiming they will spend more etc etc.
but none of them will do what is necessary and overhaul the whole thing, its a nightmare.
the specialists all want to protect their private money making empires and work as little as possible in the nhs.
the unions want in on every little decision to extract more out of the system, google the accounts of the major unions and see how much they pay themselves,nice when your members are on strike pay.
systems and hospitals cant be streamlined or moved because everyone wants their own hospital in their backyard.
i work in accounts and have over the years done temp work in a county pct, an nhs trust and east mids amb service and you would not beleive the amount of money wasted on stuff like car leasing schemes and repair contracts and infrastructure projects that should never have been started.
one trust wanted to lease a car for a nurse trainer who worked accross a number of sites the unions insisted that if she got a car then everyone of a similar grade got one even if they worked on a single site. it cost a rediculous amount and the administration costs as it was then expanded to allow staff to get a private car through the scheme and have the cost deducted at source was one and a half full time accounts staff.
i did a cost analysis of the increase in administrative costs for a trust over a 5 year period and a study of the savings that could be made by reforming the temp recruitment or bank system and boy did that open a can of worms yet the unions went mad you would think that they would want to reduce the number of temps used and the filling of permanent posts yet they fought tooth and nail to keep the bank system.
so now i just ignore the politicians as no matter what they give the nhs its like feeding a black hole, until the whole thing is reformed top down it aint going to improve.