This is an example of why the NHS can’t have nice things. A lack of trust, and knowing the cost of everything.

Our ARI (respiratory) hub is a block contract, we’re currently at 189% contractual performance because our ICB trusts us and we reward that trust.

https://www.hsj.co.uk/finance-and-efficiency/icbs-to-tackle-inefficient-block-contracts/7038614.article