Still - this Government committed to reducing health inequalities in its manifesto and has repeated that commitment - with tangible policy today. I'm calling that progress.

This is where the rubber hits the road. Govt is promising to find funding by clawing back £2.2bn of deficit.

Can they do that? Is the £2.2bn question.

Reducing deficits without reducing services is a tough ask.

So - to go beyond reviewing CH, to actually *changing* it to make funding fairer, you probably need to inject cash.

The idea is to hold 'above allocation' practices at a steady level of income whilst you bring others' up. That's much more palatable to the profession.

Government are clearly thinking ahead. Reviewing Carr-Hill is one thing. Its been promised in three previous national plans. Reviews have happened. They've said it should change, and it hasn't. Why? Mostly because unless you put in more £ it'll be a hard sell to GPs - some will lose out.

First, there's a big bank of evidence showing that Carr-Hill drives inequitable funding across general practice.

This is good, evidence-led decision making from Govt. And if they want to tackle health inequalities through the NHS, they need to tackle this

www.nuffieldtrust.org.uk/resource/fai...

It is very easy and very tempting to assume that management is merely a (useless) cost to be saved not something that adds value to the rest of the system. That's not what the evidence says and it is possible to have too little management.