What started out as a good idea was derailed by the bureaucrats and political meddling. It’s the usual problems of poor planning, ineffective program management and absence of leadership. Trying to avoid too much centralization, funding was to be devolved.
I worry about the effectiveness of financial controls in both central and local government, and the damaging impact of political interference. I question the wisdom of excessive dependence upon the major consulting firms for expertise, rather than relying upon independent professionals.
Overall, I question the absence of vision and robust, properly costed and risk-assessed strategy. As John Gelmini effectively argues, unlike Japan and China, the UK is way down the curve on deployment of robotics.
Ultimately, the questions are surely:
- Will the quality of care in the UK improve?
- Will the country get better value-for-money?’