There is a lot of discussion about what is happening with our public services, a lot of newspaper columns are dedicated to attention grabbing headlines, but in this episode we dig into what is really going on. I am very pleased to introduce Adam Townsend, founder of Viewit DataLabs Limited. We talk about what the data really tells us, and from the data we can see that the NHS system is getting less efficient. This ‘ground truth’ enables us to think about what is really going on. It is not that demand on the NHS is increasing exponentially, as may be commonly believed. The facts are that there is some increase in demand coupled with a less efficient system. Lower efficiency can be due to fatigue in the workforce of perhaps perverse incentives that encourage people to do things like discharge people early, knowing that those people will be back in the hospital again within 24 hours. We talk about the true motivations of our systems.

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