The Training Network

21/09/2026

What if NHS productivity isn't about faster nurses or busier hospitals? Roy Lilley brings together Dijkstra, Baumol and patient pathways to explain why measuring the whole journey changes everything.

NHS productivity isn't just about treating more patients; shorter journeys and smarter pathways enhance NHS productivity and patient pathways.

14/09/2026

The NHS wants to become an AI-enabled health service. There’s one problem: yesterday’s digital transformation isn’t finished. Forty-four recommendations later, who is actually in charge of delivering tomorrow safely?

AI has arrived before the NHS is ready. The urgency of AI transformation in the NHS is critical as healthcare races to catch up.

07/09/2026

NHSE is being abolished. Except its staff may not be transferable, redundancies cost billions and another organisation may be needed. Who checked whether this enormous upheaval was actually feasible?

Abolishing NHS England aimed to simplify management and save billions, but raises questions about NHS England abolition feasibility.

02/09/2026

Who runs Britain? Ministers make speeches, but Treasury spreadsheets make billions move. A change in NHS pension assumptions creates £5.4bn. The question is simple: who gets the money now?

NHS pension assumptions could lead to a £5.4bn saving. Will the NHS benefit, or will the Treasury reclaim the NHS pension contribution £5.4bn saving?

27/08/2026

The NHS doesn’t need another national headquarters. Move jobs north, certainly, but real devolution means regional budgets, authority and freedom. Stop moving managers around the country. Start moving the power.

Real reform requires true NHS devolution and regional power, transferring authority and budgets to regions, not just relocating bureaucracy.

17/08/2026

Who decides whether a man gets a PSA test? A quiet NHS policy change shifts the balance towards GP judgement, raising uncomfortable questions about transparency, choice, inequality and prostate cancer.

A quiet change in NHS prostate cancer testing raises questions about transparency and inequality in light of the new NHS prostate cancer PSA testing policy.

27/07/2026

Free personal care sounds compelling, but who qualifies, who pays and where will carers come from? The biggest questions behind social care reform still demand credible answers.

23/07/2026

Could restoring Regional Health Authorities solve the NHS's leadership vacuum? Roy Lilley makes the case for rebuilding the missing middle between Whitehall and frontline services.

22/07/2026

Waiting lists cannot be cleaned forever. Eventually patients must be treated. Why honest trajectories, operational capacity and transparent reporting matter more than political promises for NHS recovery.

Political promises alone cannot reduce NHS waiting lists; real progress hinges on effective NHS waiting list management, not just headline-grabbing announcements.