My only thought here is that money is 'pushed' at problems in the form of big initiatives. More often than not, in my experience, money is put to better use when it's 'pulled', or asked for, rather than thrust upon an organisation. For instance, if the LAS response times are slipping, the solution may be to unclog the hospital EDs so ambulances can hand over more quickly. In this example, I get the impression that the ED staff can't just demand a couple more nurses, trolleys, and another room to put people in -- the system just grinds to a halt and a manager somewhere comes up with a plan to make the ambulance service more efficient (e.g. using a fleet of paramedics in cars instead of real ambulances).