The writer quoted wants the funding for the NHS not to come from the top down but from the bottom up.
All right, who exactly is this Neil Record?
Uh huh. Note the Brexit section.
Neil R is apparently in this Pharos Foundation, using this lighthouse beacon motif as our current Nourishing Unherdables does:
… but backed by a fair amount of moolah it seems, unlike us. We’re bottom up you see.
Not making out that there’s anything untoward … juss exploring like.
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A reminder, dear reader, that you're welcome to comment as Anon but if so, please invent a moniker to appear somewhere in your text ... it tells Watchers nothing, it does help the readers.