I worked in the NHS for 40 years and retired 15 years ago. I saw it go from mediocre to excellent and back again.
The move to Foundation Trusts brought in some dreadful Chief execs, and their ilk still linger in places - but the vast majority of senior managers (& board members) are good people working with their hands bound.
The estate is in a dreadful condition generally but we are wedded to the Big Hospital ideas of Enoch Powell's time - different ideas are needed for a different century.
Here's the rub though - to radically improve the NHS needs to think, act and believe differently. It won't because there are too many vested interests particularly in the professions and associated academia.
Yes a Fuckton of cash is needed, but here I agree with the government - the systems need fixing before vast sums of money are thrown away on something that is irreparable.