The Government needs to resist the clamour from ideological libertarians and give people the tools they need to lead healthy lives and address the culture of the nation towards food, activity, and looking after yourself, as they do in other healthier countries.
A modest (if growing) list of technocratic interventions will not be enough for the electorate, no matter how good they are in their own terms.
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?
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.
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.
Centralising power and imposing top-down reforms usually ends up backfiring on service users in the end.
Voters aren’t used to a world of rising prices and interest rates, and their hearts and minds are up for grabs.
In future, the economy may run into inflation bottlenecks earlier in economic recoveries than before, thus constraining growth.
Javid needs to address public dissatisfaction with GPs without further degrading their professional competence.
A problem that £20,000 in hard cash hasn’t solved needs a more imaginative solution than brute force.
We have to focus on the actual day-to-day work processes of healthcare professionals.