This framing makes sense when you look at it through an engineering lens rather than a care delivery one.
Specialisation tends to outperform generalisation when variables are reduced, and healthcare is no exception.
The NHS England GIRFT programme has repeatedly shown that high-volume, specialised pathways deliver better outcomes at lower cost for elective procedures.
What stands out here is the decision to redesign the whole system, not just relocate the surgery.
That shift from adapting within constraints to building for purpose feels decisive rather than incremental.
How do you think regulators should evolve to better support specialist models without defaulting to hospital-centric assumptions?
Looking at any issue or problem with a new lens leads to new ways of thinking and breakthroughs ultimately.
It feels like sending every minor repair back to the factory.
Expertise increases, but responsiveness disappears.
When distance from reality grows, tension rises.
Clarity returns when authority and responsibility move closer to the work itself.
This framing makes sense when you look at it through an engineering lens rather than a care delivery one.
Specialisation tends to outperform generalisation when variables are reduced, and healthcare is no exception.
The NHS England GIRFT programme has repeatedly shown that high-volume, specialised pathways deliver better outcomes at lower cost for elective procedures.
What stands out here is the decision to redesign the whole system, not just relocate the surgery.
That shift from adapting within constraints to building for purpose feels decisive rather than incremental.
How do you think regulators should evolve to better support specialist models without defaulting to hospital-centric assumptions?
Designing for the actual problem instead of tradition changes outcomes fast.
This approach helps patients, their families and health care providers, allowing them to build better more efficient systems.