Ethan
Money List Winner
It needs changing, surely people working in the service are capable of looking at it and making improvements. If not then are we saying the NHS employs people of such a poor standard they can't see inefficient processes and change them. If a process like that would have existed in my company some heads would have rolled.
It all started with the NHS and Community Care Act in 1990, when the market system started to creep in to the NHS. It has mostly been only going in one direction since, although one or two mis-steps along the way. I was a junior hospital doctor at the time and I remember walking into the hospital one day through a corridor of offices and noticed some new titles on doors - Director of Quality, or something and wondering what the hell that was. Soon after I developed my first rule of NHS management - if someone's job title doesn't tell you what they really do, they are not to be trusted and severe no useful purpose.