Normally I have a lot of time for the Public Accounts Committee. Over the last decade few committees have done better work. But this is far from its finest hour. There are three reasons why the NHS is in trouble. They are:
The internal market, which creates massive costs and enormous inefficiencies
A lack of funding
Brexit, which has harmed recruitment
Just to address 1).
NHS England has more internal market than NHS Wales and NHS Scotland. NHS England has been getting more productive faster than NHS Wales and NHS Scotland. A reasonable conclusion thus is that internal markets improve productivity.
That is, the costs and inefficiencies of internal markets are less than the benefits they bring.
Someone who knew economics would know that…..