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Streeting’s big NHS reboot sounds bold—community hubs, tech, prevention—but without a delivery plan, funding, or accountability, it risks becoming what so many past plans were: just a glossy brochure. #NHS #HealthPolicy #Leadership

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Just finished Can We Be Great Again? by Jeremy Hunt — part memoir, part manifesto. A sharp take on leadership, NHS reform, and why national confidence matters more than ever. #Politics #NHS #Leadership

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From wiping royal bottoms to propping up crumbling hospitals—some jobs are truly thankless. NHS estates managers keep it all standing. But the real fix? Social care. Everything starts (and stops) there.

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Try and explain the intricacies of infection control to a ninety-year-old… don’t bother. Perception is everything. To her, a proper doctor wore a uniform and asked about her RAF broach.

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In the meantime, in an NHS that is distracted by sackings, budget cuts, buildings collapsing, re-disorganisation and waiting lists growing… ‘preparing for strikes’ is added to the list of things to do.

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triking doctors had lost a shedload of money… remember, the BMA didn’t pay strike pay. HMG pushed the big money problem back into another financial year.

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Don’t reform it. Reassure it, rebuild it, restore it, renovate it, remake it, reconstruct it, refurbish it, recondition it. Don’t replace it.

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The headlines are reassuring. The NHS is getting 28 new linear accelerator, radiotherapy machines to treat cancer. 

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Expressed more clearly with a new punctuation mark... the ‘NHS Question Mark’.

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In politics and business the demand for leaders who can navigate complexity, foster trust and empower others is greater than ever. 

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As far as I know, there was no overwhelming argument to bring in the demolition squad. It says to me, perhaps a careful review? A strategic realignment? Maybe. 

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Data, once the golden thread of healthcare, is now on the chopping block. Performance indicators vanish, insight fades. In pursuit of efficiency, NHS risks flying blind into a future of false economies.

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Social care is a political orphan. Behind closed doors, underfunded, and ignored—because grannies in care homes don’t vote, and families move on. Politicians know it. And they exploit it.

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Met a worried family. Their daughter has diabetes. They’d read NHS services might be cut. “What are we supposed to do?” the dad asked. I had no good answer.

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he NHS is stuck in the Goldilocks Paradox—too national, too local, never just right. Chasing balance while juggling politics, performance targets, and fairy-tale fixes. Same porridge, different bowl.

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Magicians don’t really cut ladies in half—just as health secretaries don’t really fix the NHS. They conjure headlines, shuffle old money, and hope no one looks too closely.

[thetrainingnetwork]

Reform won big locally—but legal duties, tight budgets, and central control mean little real power. Social care eats the budget, can't be cut, and radical change needs national control.