Optimising the NHS: It can be done
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Join host Mark Gordon, leading oncologist Professor Karol Sikora, finance expert Gary Burden, healthcare policy expert Professor Lindsay Sales and HSi's healthcare marketing and communications expert, Marijke Richards as they explore the structural imbalances in the NHS revealed by HSi's comprehensive data analysis and summarised in our recent report published on LinkedIn 'Optimising Demand and Capacity in the NHS (England).
We discuss how poor resource allocation and excessive bureaucracy create unnecessary waiting lists despite adequate overall funding and staffing.
- Only 41.8% of NHS England's workforce is clinically facing, with the majority in non-clinical roles
- The NHS has undergone too many management changes, that add bureaucracy without improving care
- Many surgeons lack sufficient operating theater time while many facilities sit underutilized, creating efficiency gaps
- Cancer diagnosis pathways with 62-day targets are dangerously long and still missed for a third of patients
- The system lacks incentives for productivity, unrelated to patient outcomes
- NHS planning is backward-looking rather than based on population health needs and disease prevalence
- HSi's data model using 158 million data points shows the NHS could eliminate waiting lists with better resource allocation
- Depoliticizing healthcare delivery and implementing evidence-based planning is essential for meaningful reform
- Professor Karol Sikora describes the NHS as "the last bastion of communism," a system that "believes its own propaganda"
We need to break through the political bubble controlling healthcare and empower citizens with information showing how the NHS could deliver better care for less money through competent management and planning.
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Chapters
1. Introducing the Structural Imbalance (00:00:00)
2. Carol Sikora on NHS Management Problems (00:02:10)
3. Wasting Scarce Resources (00:05:02)
4. NHS as "The Last Bastion of Communism" (00:10:06)
5. Lack of Planning and Proper Incentives (00:14:48)
6. From Data to Real Change (00:24:28)
7. Breaking Through Political Control (00:30:38)
4 episodes