[identity profile] a-pawson.livejournal.com 2010-01-27 02:22 pm (UTC)(link)
Much of the NHS is incredibly inefficient and run in very old-fashioned ways. The culture amongst many staff is one of resistance to advancement, efficiency improvements or change in general. Reforming that culture is pretty much impossible, not least due to resistance from staff and/or unions to change. Making hospitals compete financially, the argument goes, is pretty much the only way that you can force that change to take place.

[identity profile] momentsmusicaux.livejournal.com 2010-01-27 02:50 pm (UTC)(link)
It confuses patients, and actually there was research that showed passing choice over to the patient slows the whole process down significantly and wastes resources.

And competition is inherently wasteful anyway.