A More Productive, Local NHS

Earlier diagnosis is the cheapest intervention in medicine. It is also one of the few places where technology reliably lowers cost while improving care. Yet a diagnostic can win regulatory approval, prove it works, and still take years to reach patients. The science is rarely the bottleneck. The problem is that there is no dependable route by which an approved technology becomes a funded, commissioned part of a care pathway.

Marc has seen this from the inside, having taken diagnostics through approval in the UK, US and Europe. He wants a single, predictable route from approval to adoption, so that a product proven once is not re-evaluated from scratch in every trust that might use it.

The second half of the answer is decentralisation. Too much care still happens in hospitals because that is where the system is organised, not where patients need it. Moving services into the community, closer to home, is better for patients and cheaper for the taxpayer. On the council's Adult Social Care and Health Select Committee, Marc sees daily how much depends on health and social care working together locally rather than being run from the centre.

A health service that adopts faster and works closer to home can deliver better care without asking for ever more money. That is the case he makes.