Reform UK leader says new US team view the deal with Mauritius with ‘outright hostility’Wes Streeting has now delivered his speech to the NHS Providers conference in Liverpool, and it is being described as a potential turning point in his time as health secretary. Here is a verdict from Shaun Lintern, the Sunday Times’ health editor.Bullish, specific. Streeting is beginning to move from era of “reviews” to actual starting to direct the NHS on what Govt wantsWes Streeting at @NHSProviders conference gives a clear message and mission for ICBs and ICB leaders - you are a strategic commissioner and will lead the transformation to neighbourhood care Very good news to have a clear missionStreeting said the NHS was too hierarchical. As the Telegraph reports, he said:The NHS in 2024 is more hierarchical than almost any other organisation that I can think of. Even our armed forces … are less locked and centralised into command and control.Streeting said that he wanted to give local managers more freedom but that he would take back power if they were underperforming.If performance dips I reserve the right to take those freedoms away and for those judged to be persistently failing, we will act, going from zero consequences for failure to zero tolerance.He said that he wanted a culture of honesty in the NHS, and that a culture that that “stifles inconvenient truths … ultimately puts patient safety at risk”.He