Ecuador’s election wasn’t free — and its people will pay the price under President Noboa

THE repeated postponement of the 10-year “long-term plan for the NHS” called for during the summer by Theresa May is partly a product of the fixation on Brexit — but partly a reflection of the cleft stick in which NHS England is trapped.
The NHS is saddled with a massive staff shortage exacerbated by eight years of real-terms pay cuts for staff and the increased pressures on front-line staff, and a wholly inadequate budget which we now know is set to continue falling behind increased costs for another five years.
But it is also lumbered with a fragmented structure and legislation (Andrew Lansley’s 2012 Health and Social Care Act) that squanders resources on carving up services and contracting, and blocks any effective strategic planning or collaboration.



