We think we have found a solution that will bring the NHS under control. Nature magazine has picked up some work done by people at MIT and Northeastern University which shows how to control complex networks. Their computer model can take a look at complex networks and reveal which are the critical points which can be then used to control the entire system. Before we can hail this as the definitive answer to Mr Lansley’s problems, bear in mind the very valuable general point made in the Nature abstract – we can only control what we fully understand. And of course it has been a while since anyone has been able to claim a full understanding of the NHS. Even our own resident guru Andrew Craig confesses himself stumped by some of the current goings on. Perhaps this research offers some hope on the horizon. The MAC candidate for the NHS critical point? GP’s financial incentives encapsulated in what we would call a Reward and Remove Programme – good gets rewarded: bad gets removed from the board.
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