Reorganisation is the last thing the NHS needs Sqad.
There have been at least 15 identifiable major structural changes in three decades, or one every two years or so.
Firstly, structural reorganisations don’t work. Although NHS performance may be problematic, there is often little evidence to show that the causes of poor performance are structural or that the proposed structural changes will improve performance.
Secondly, the transitional costs of large scale NHS reorganisations are huge, although they are often discounted or ignored, and the intended or projected savings from abolishing or downsizing organisations are rarely realised.
Thirdly, and most importantly, reorganisation adversely affects service performance.
It is a huge distraction from the real mission of the NHS—to deliver and improve the quality of health care—and it can absorb a massive amount of managerial and clinical time and effort. It saps morale and creates uncertainty for many people about their careers and futures.
These are brief points taken from this article by Prof Kieran Walshe
http://www.bmj.com/co...341/bmj.c3843.extract
So if the government were to spend the money they presumably have set aside (billions likely) for the planned reorganisation on front line clinical services instead, this very sad state of affairs might be averted.