Civis
We need to challenge the idea that the NHS crisis is purely about funding. Instead, the real issue is the quality of decision-making and the inability to think long-term within political cycles.
Core Structural Issues
Short-term political thinking
Decisions rarely extend beyond election cycles, limiting long-term planning and systemic reform.
Leadership capability
Clinical excellence does not automatically translate into organisational leadership capability.
Fragmented procurement
Decentralised purchasing leads to inefficiency and inflated costs across trusts.
Civis Approach
Long-term funding model
Ring-fence NHS funding across parties for 10+ years to enable strategic planning.
Centralised procurement
Aggregate purchasing power to reduce costs and stabilise supply chains.
Professional leadership pathways
Develop leaders with experience in managing complex organisations, not just clinical practice.
Alternative Funding Thinking
Mutual health model
Explore decentralised, localised contribution systems to complement national funding.
Private enterprise integration
Allow private providers to support delivery, with mandatory reinvestment into NHS funding.
International learning
Adopt best practices from European systems for community and social care.
Rethink health, not just funding.
The NHS does not fail because of lack of money. It struggles because of how decisions are made.
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