My girlfriend is a finance partner in the NHS and she is always telling me about how much money is wasted. So much stuff is contracted out that doesn’t need to be - even her boss is agency and he sounds useless. There is a lot of middle management, and a lot of money thrown at pointless initiatives. It also seems that the organisation has its fair of internal mini-scandals with the books not balancing, spend not being signed off, etc.
My belief is that yes, the NHS is underfunded and yes, it needs an overhaul.