Sustained improvement to primary care radiology referral quality and value is achievable at scale using a multifaceted intervention. The transferability of this outcome is likely to be connected to su...

Governments worldwide owe an unprecedented $91 trillion, an amount almost equal to the size of the global economy and one that will ultimately exact a heavy toll on their populations.12 The UK is among the countries that seemingly have no more money. Figures released for August 2024 highlighted that UK government borrowing hit 100% of GDP, levels not seen since the turbulent times of the 1960s.3 Our prospects for raising more money in the short term are limited. Economic productivity is low and the palatability of raising taxes for the general population is also low given how many UK residents are already struggling to make ends meet. The solutions of higher taxes on real estate, as well as introducing fairer and more balanced wealth and inheritance taxes, have been proposed. But the ability of the current Labour government to implement these in the short term is questionable. Overlaid onto this are two further challenges. The first is that the real …