Abstract
Quick fixes will failThe fundamental problems of the NHS cannot be fixed in time to make a noticeable difference by the next election. It will take years to change NHS culture, train and retrain the people, create the necessary information systems, analyse and change the care management processes, repair and build the needed buildings, and procure modern reliable equipment. Though there is a political imperative to find quick fixes, they will inevitably fail. Resources should be directed to reforms that can sustain large improvements over the long run.

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