Times are tough and funding remains below the historic average, but in key areas there are welcome signs of hope

Reorganisation – or re-disorganisation – is the perennial disease in the NHS. If I listed all the structural acronyms throughout the decades, and the new staff starting new jobs with new brass nameplates, it would fill this page.

This week, Wes Streeting accepted the resignation of NHS England’s chief executive, Amanda Pritchard, after ousting its chair, Richard Meddings, signalling an effective merger in all but name with Streeting’s own department. Whitehall says NHS England will have “a smaller, leaner role”, with thousands of duplicated jobs lost.