[Osem]

Maybe what's needed is more good managers and fewer inept ones? It might also help if those who fail miserably weren't re-recruited by the NHS somewhere else but it's hard to find out how common that is.

I still think a big problem is the outrageous cost of PFI and inefficiency in procurement which must inevitably impinge on the NHS's ability to deliver the required levels of service. An organisation the size of the NHS ought to be able to source equipment, supplies etc. at exceptionally keen prices but seems to do the opposite.