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A Bold Shift In NHS Governance
- Labour moved decisively to reorganise NHS accountability by planning to abolish NHS England, surprising many insiders.
- That decision followed budget discussions and a shift from initial caution to rapid structural change.
Money Created Political Pressure For Quick Wins
- The £20bn budget boost forced ministers to search for visible wins and clash with NHS England over realistic performance improvements.
- NHS England warned there was little spare capacity, making big target raises unrealistic.
Targets Versus Realism Clash
- Ministers wanted big, politically appealing A&E performance gains while NHS England argued only modest improvements were realistic.
- That mismatch exemplified broader frictions driving the reorganisation push.