This unusual, witty, satirical, pseudonymous, controversial and very pointed work gathers together the 50 episodes which were originally published on the famous and widely-read nhsManagers.net eletter run by Roy Lilley, which has some 30,000 subscribers here and abroad. Both the author, and Mr. Lilley - who are not one and the same - have been Chairs of NHS Trusts and advisers to government. Mr. Romford dramatizes the current issues and problems of British healthcare - and points out some radical and innovative solutions. The author holds up a mirror to the NHS and public service, its foibles...

The critical challenges to the British NHS are the consequences of us all living longer, having to manage chronic conditions over time, expecting and demanding more, and being denied many innovative new drugs (notably, for cancer) which cannot be afforded at present by the too narrowly funded NHS. This needs to be changed, in line with more successful funding systems in Europe, Australia, and the Far East, where outcomes are much better than in the UK. This radical new book offers economic solutions based on direct financial incentives to the individual to care for themselves better, to save...