NHS trust: why Whitehall’s increasingly divided view on health and care matters (Nuffield Trust, 16 November 2023)

Summary

With Whitehall paymasters showing less faith in the organisations that hold the budgets for health and social care in England, Mark Dayan describes five ways that such tensions behind the scenes can impact on the running of services:

1. Promising and planning.
2. Ministerial direction.
3. Frontline first.
4. Too much too late.
5. Enough already.