Let's say we don't know what the right balance between medics, admins and managers is.
The regional structure of the NHS should be an opportunity for different regions to try different ideas.
So that we can learn what works and replicate, and also learn what doesn't work and so avoid.
It feels really unintelligent to impose one model across the entire NHS. Not only does one size rarely fit all, it is also inherently risky from the above "engineering" analysis.
A key lesson is that the larger an organisation, the more important it is to maintain its ability to "learn".
And the approach doesn't just apply to the balance between medics-admins-managers .. it can apply to other decisions eg procurement, commissioning GP services, use of pharmacies, solving the dentistry puzzle ...
