The NHS has benefited from enormous resource increases over the past 25 years £2 Trillion above inflation yet productivity and patient satisfaction have declined. The current model is broken. A new approach is needed, focused on efficiency, not just endless spending.

The Catalyst for Change: A 3-Year Budget Freeze A temporary freeze on the NHS budget would create the urgent incentive needed to drive fundamental reform and innovation from within.

It does not necessarily mean no wage increases in the NHS, just they have to be funded from efficiency changes.

The Cultural Reset: Patients First A new ethos must be embedded across the service where the patient's time is treated as the most valuable resource, with a relentless focus on moving people through the system quickly and safely.

Cost Savings

A Relentless War on Waste This period must be used to launch an aggressive cost-saving campaign. This includes a full digital transformation, a radical overhaul of how NHS space is used, and ensuring that clinical staff are not performing administrative tasks that could be done more efficiently by others or AI.

Use of AI when fully embraced will be transformational.

Look for many simply changes, that save time and make the NHS more productive, without harming patient care. The size of the NHS means the savings in any area, will mount up to big numbers.

• do all the healthcare people in the room, need to be there?
• would a chair outside a consulting room for next patient speed up the flow and result in more patients being seen
• would adjust allocated time to actual time to do a task (e.g. drawing blood) increase productivity
• is enough overbooking slots done to offset the no shows
• could standby work in certain situations?

Sure that the people in the NHS, see chances for improvement and efficiency and they need to be brought in to uncover the changes required.