To ensure that increased resources are not wasted but translate into better health outcomes, greater health system efficiency must be prioritised at the same time. Without removing this cap, or undertaking a health sector spending and efficiency review, it will be difficult to increase health system resources substantially over a short period of time. Many other OECD countries, such as France or the United Kingdom, engage in regular spending reviews that allow a more responsive approach to public service development, whilst controlling over spending.