If every system is perfectly designed to get the results it gets, what is wrong with the design of the systems that govern Britain? And how have they resulted in failures in housing, privatisation, outsourcing, education and healthcare? In How Did Britain Come to This? Gwyn Bevan examines a century of varieties of systemic failures in the British state. The book begins and ends by showing how systems of governance explain scandals in NHS hospitals, and the failures and successes o...

Originally published in 1980, this book explores how the NHS confronts perennial stresses and problems, considering in particular the allocation of the scarce resources within the health service. Written by distinguished academics, three of whom previously undertook research work for the Royal Commission on the NHS, the discussion centres on whether more could not be spent, whether resources are being allocated equitably, how planning can work most effectively, whether there are feasible w...