Here's how I'd sort the NHS out:
Make CEOs effectively stay in post for a minimum of 3 years to actually see out the knock on effects of their crazy 'blue sky thinking'.
People see the NHS as 'free' thus don't value it.
Charge people for failing to keep medical appointments. What I'd do is set up a unit whose job it was to chase non-attenders for payment. They'd send out a 'please explain' which the non attender had to fill out in order to have that fee waived. You'd get some Booker Prize winning fiction in the responses, most of which would indeed allow that person 'off the hook' BUT I bet you that person would think twice about failing to keep or cancel their NEXT appointment, so would their family and mates once they'd realised the NHS was serious!!
I'd charge the financially able a small sum to visit their GP, a fee that'd reduce or stop with a subsequent follow up.
Put financial limits on payouts. VAST sums of NHS money go on defending litigation. The red top papers in particular engender a ridiculous sense of entitlement in their readership thus IF something goes not according to plan in a health care setting, SOMEONE must be made to pay, regardless of whether that event was extremely unlikely to occur or a genuine accident..
We all gripe about 'nurses with clipboards'- well, we got the NHS we demanded: One where absolutely EVERYTHING is accounted for, NOTHING can be said to have happened unless that something is recorded. That requires clipboards. So when 'Something Goes Wrong' the paper trail can be trawled up in order for us to sue the hospital, as we are safe in the knowledge that the health authority will settle out of court because they can't afford to fight it and maybe lose.
MRSA? C. Diff? Inevitable in a system that only values 'through-put' as a performance indicator.
Inject some common sense back into what is offered. Re the issue of litigation, every day 95 year olds are put through the indignity and trauma of invasive diagnostic tests because the NHS doesn't DARE say 'No' because they fear the relatives lawyer IF it transpires that great grandma DID have undiagnosed bowel cancer at the time of her death. The fact that no one would have treated it in a frail 95 year old is seen as neither here nor there. Spend that 'Diagnostics' money on better Geriatric, palliative care. Pay those workers more.
Get rid of these stupid 'Patient Led NHS' initiatives. I don't want my NHS to be patient led :- that way lies spectacular self-interest and blinkered, short-term knee jerk.
Finally, please bear in mind that even the government recognised that key health care workers (amongst others) didn't benefit particularly well from the bull market of the past few years: that's where the Shared Ownership Scheme came from. Your 'pay' is a combination of several thing: actual back pocket money, pensions, terms and conditions. The average NHS worker earns 'not much' but gets an OK pension deal. If you want to hack into that pension deal, expect NHS workers to demand more pay to compensate.