Foreign labour is an alternative to ministers facing up to how successive governments have gummed up domestic training and recruitment of medical staff.
I would break this down into three broad and interconnected areas. How do we improve accountability? How do we embrace new technology? And how do we allocate resources more effectively?
Where there is need, front line staff like doctors and nurses are underpaid, relative to what they should receive, and where there isn’t, a whole host of people are well paid.
When I was responsible for the £600 million a year London Development Agency, I was shocked at how much management focus was just on getting money out of the door.
Pay for medical staff is set centrally and restrained whilst boards give administrators generous awards.
It has real democratic authority including with the Lords which might not be so inhibited from voting down new measures which didn’t feature in that manifesto.
Voters aren’t used to a world of rising prices and interest rates, and their hearts and minds are up for grabs.
Javid needs to address public dissatisfaction with GPs without further degrading their professional competence.
The Prime Minister needs the courage to face down the tiny minority who want to rush through the Conversion Therapy Bill.
At present, the temptation is too great to linger in lucrative locum work rather than commit to a place and a specialism.
We have to focus on the actual day-to-day work processes of healthcare professionals.
Speaking to a Conservative MP, his view of the biggest issue facing the party was simple: ‘access to a GP’. His mailbox was filling up.