Streamlining the organisation of the NHS without a top-down reorganisation

Streamlining the organisation of the NHS without a top-down reorganisation Two facts about today’s NHS are incontrovertible. The first is that providers in England are in the fifth year of running an aggregate deficit with financial balance or surplus an unlikely prospect. The second is that the organisation of the NHS is complex and fragmented and consumes a substantial amount of management time and cost. The King's Fund