That’s not how the Liverpool pathway works. 60000 people are on it or registered for it, and its voluntary. And for 99% of patients, it works.
Although we agree it has been abused in the last few years.
I admit that I’m a bit loose with the word “Pathways”, but it does give me the creeps when I hear the word, in any context.
But I also did hear (or read) a while ago that England does do what I described (i.e., saying they can’t do anymore), at least to an extent much more than the US does.