I think you’re giving the British government far too much credit. Between 2010-2024, the governing party had a religious belief in the power of outsourcing to the point that former ministers (Rory Stewart being one) have spoken out about how many problems they caused by pushing the model to its extremes, irrespective of whether it makes sense or not.
Where it comes to organisational complexity and the barriers it creates, bear in mind that the British state is vastly more centralised than the USA. Fragmentation in the NHS was massively exacerbated by the Lansley Reforms which also forced trusts to outsource a lot of work.
Where it comes to organisational complexity and the barriers it creates, bear in mind that the British state is vastly more centralised than the USA. Fragmentation in the NHS was massively exacerbated by the Lansley Reforms which also forced trusts to outsource a lot of work.