The think tank Reform has accused the NHS of failing to develop a coherent vision for change, and warned that unless the government tackles 'centralised, dysfunctional bureaucracy', its funding and policy achievements will go to waste.

Author Ian Smith, a private sector manager interviewed for the NHS chief executive's post this summer, says frontline managers have been subjected to 'conflicting and incoherent directives' and 'frequent and meaningless reorganisations', and that good people have left the service as a result.

He says the NHS now needs to focus on creating a coherent change programme built around the idea of 'patient value' or securing the maximum health performance for every pound spent.

Read the report here

The think tank Reform has accused the NHS of failing to develop a coherent vision for change, and warned that unless the government tackles 'centralised, dysfunctional bureaucracy', its funding and policy achievements will go to waste.

Author Ian Smith, a private sector manager interviewed for the NHS chief executive's post this summer, says frontline managers have been subjected to 'conflicting and incoherent directives' and 'frequent and meaningless reorganisations', and that good people have left the service as a result.

He says the NHS now needs to focus on creating a coherent change programme built around the idea of 'patient value' or securing the maximum health performance for every pound spent.

Read the report here