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It is easy to blame the "managers", they have no voice, no politcal lobby, Union, Professional Body or "old-boys club" to defend them. The vast majority of managers I have worked with care passionately about patient care, despite being told constantly that clinicians have the copyright on this.

Yes we must get rid of the waste which is used to prop up poor politicians and feed the DH machine, but if the politicains really believe that a business the size of the NHS, with a workforce of over million, can be run with no management infrastructure, they are deluded. I suspect there will be plenty of work for employment lawyers in the future!

If we really want to understand where the money goes, why not take a look at the consultant & GP contracts. I am sure if the general public understood the details, MP expenses would look small-fry!