A long-delayed report into the organization of the British National Health Service (NHS) has belatedly been published this week, with remarkably little media coverage. It was prepared by Stuart Rose, the former boss of retailer Marks & Spencer, and we might wonder to what extent his expertise is relevant to the NHS. Nevertheless, he makes a good fist of explaining how constant and contradictory changes have led to ‘change fatigue’; how targets have had a dysfunctional effect; and that the rece
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