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Government and Institutions
In the Media
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20 January 2026
Kristian Niemietz writes for CapX
Our Editorial Director Kristian Niemietz has written for CapX on the government’s NHS plan.
The article said:
“One of the big themes of the 2025 plan is ‘Shifting from hospital to community’, on the grounds that ‘evidence is unequivocal that more care in the community is cheaper and more effective than defaulting to all care in hospitals’. Fair enough. But then, this was already a theme in the 2000 plan, which said, for example: ‘By 2004 patients who currently have to go to hospital will be able to have tests and treatment in primary care centres as staff numbers and skills expand: by 2004 consultants who previously worked only in hospitals will be delivering approximately 4 million outpatient consultations in primary care and community settings’.”
“It short, it all feels a bit Groundhog Day.”
“Maybe I’m being too harsh. The fact that certain themes keep reappearing does not mean that there is never any progress in these areas. Maybe some of these are more like ongoing challenges rather than one-off ones which have an obvious endpoint. The fact that we keep making the same New Years’ resolutions year after year does not mean that those resolutions are useless either.”
Read the full article here.
The article said:
“One of the big themes of the 2025 plan is ‘Shifting from hospital to community’, on the grounds that ‘evidence is unequivocal that more care in the community is cheaper and more effective than defaulting to all care in hospitals’. Fair enough. But then, this was already a theme in the 2000 plan, which said, for example: ‘By 2004 patients who currently have to go to hospital will be able to have tests and treatment in primary care centres as staff numbers and skills expand: by 2004 consultants who previously worked only in hospitals will be delivering approximately 4 million outpatient consultations in primary care and community settings’.”
“It short, it all feels a bit Groundhog Day.”
“Maybe I’m being too harsh. The fact that certain themes keep reappearing does not mean that there is never any progress in these areas. Maybe some of these are more like ongoing challenges rather than one-off ones which have an obvious endpoint. The fact that we keep making the same New Years’ resolutions year after year does not mean that those resolutions are useless either.”
Read the full article here.
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