yep be nice to see some overlays with population, life expectancy and a few other factors. Maybe even the number of EU migrants working in the front line NHS
[Read the entire thing and don't misquote!!]
In many ways it would work better as a private firm without the massive political interferance that goes on.
In terms of government savings, collecting the tax owed by the large multinationals, perhaps a collective group of countries all committed to stop companies juggling taxes on an Europe wide scale?
Some things are a bitter pill to swallow and in a different situation the challenge I come up against with long term HC solutions is the lack of funding and the fact there seems to be no real long term funding solution.
To take one simple area of chronic health, you have people that will require care/treatment/meeting for their lifetimes (such as diebatic care) if you can put the funding into getting people getting on with their lives and living healthier as it's very possible to do you reduce the emergency and long term issues these things lead to through poor management. To do this though is intensive up front and probably presents no real savings in the next 5-10 years. Is it worth it for a lifetime yes, worth it for the lifetime of a parliament no.
Public/Private partnerships may work but will create a 2 tier system where the rich can skip on through and the poor wait. I've seen other schemes where waiting lists are stopped and anyone new moves onto an immdeiate next week surgery list as the consequences of waiting till the end of the list are huge for excess cost and long term impacts (the impact of somebody not working for a year etc.)
I still don't think throwing money at it is the solution, it needs targeted joined up thinking and people also have to understand the implication when they go to the paper asking for a huge amount of funding for a drug that may have very little impact ( a lottery win type drug) vs waht that money means to 100's of other people for life. Hence my first comments about it may work better as a private company who can deflect and hide from those things.