The Policy Exchange think tank wants local NHS to have more power and questions rise in national managers.
The NHS needs to devolve more power to local areas in England and reduce the number of staff working in national organisations, a think tank says.
But it questioned just how big the central infrastructure of the health service had got over the past decade, saying the way it was currently run was "ripe" for reform.It looked at what are called specialised services. These are things such as proton beam therapy and children's heart surgery, that are only done at a few sites across the country. As a result, they are run centrally by NHS England.
The think tank said responsibility for such services should be given to local services as part of an attempt to streamline the national bodies.
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