The Spectator

Letters | 31 May 2018

issue 02 June 2018

What the NHS needs

Sir: James Forsyth and Fraser Nelson are right (‘The great Tory health splurge,’ 26 May): an extra 3 per cent will not solve the Tories’ political problem. Labour will still trumpet NHS deficiencies, waste will continue and the NHS will demand ever more resources.

Only structural change will solve the problems inherent in our state healthcare monopoly. First, we need to set sustainable limits on what the NHS should provide, learning from other countries how to restrain demand responsibly. Second, we need to look beyond how adult social care is funded, to how it should fit with the NHS. Third, we must slash the top-heavy bureaucracy and split NHS England into manageable units (the size of NHS Scotland, say). Without such radical action, another £350 million will only buy Theresa May more heartache.
Tim Ambler

Senior Fellow, Adam Smith Institute

London SW1

The price of justice

Sir: As a criminal barrister, I was interested to read that ‘The Brexit bus pledge has turned the Conservatives into big spenders’ (26 May).

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