My belief is they want a system where the NHS costs far far less, with the onus put on the population with health insurance & the charity, the state providing emergency care only, NHS moving into the private sector.
The model being dentistry, we are now putting up with very expensive ins/treatments and for those without, its DIY and/or AE/Emergency treatments.
The problem they have is the population don't want any of this, so its done little by little, keep the majority on side.
Can't be incompetence, the removal of the bursary was a well thought out action, as was offering 1% after the pandemic, deliberate insult.