Crikey (and that's the second time I've used that word today).
I have lots of operational observations, such as not driving to pick up a prescription from a separate location to where the doctor issued it.
One issue is that GP surgeries are privately owned commercial operations, often owned and profit shared by the partners. Since Covid, they worked out they can still be paid as much without seeing as many patients. The result of this is that load is forced onto A&E.
The other is old people. We are living longer, but not healthier, so the demand on the NHS for people over 80 is crippling the service. I have an extremely radical solution that any political dictator would be proud of. Free health care until you're 80. After that free pain relief, but no free treatment.
Another idea I like is that in France, you pay for appointments. Not a huge fee, but enough to make you think twice before booking or cancelling. Missed appointments in the NHS is a big issue.
Lastly, I was running through with Chatty an idea I had to create a private A&E for the wealthy, we have BUPA, but that is mostly elective procedures. A company could establish a chain of very high end private A&E's. Anybody can turn up for any reason at anytime, but it's £1,000 just to walk through the door. But if you do pay that £1,000 no waiting, no discomfort, you are shown straight to a doctor, who sees you immediately, diagnosis you with the best expertise and equipment. All tests are carried out in real time and any required procedure happens as soon as diagnosis is obtain. You pay an absolute fortune, the company charge 5X the costs, pays all their staff extremely well, buys nothing but the best equipment, and reinvests profits after giving large dividend payouts to their shareholders.
Eventually, you create a second tier version. Give the contract to the Virgin Group, who will charge less, but make you feel more important, but be slightly less efficient or competent.
