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I think many of the above commentators make good points. How often do we need external bodies to come in and tell operational staff the things we already know.
Perhaps the time has come for the NHS to stop being a political football and to run the NHS as a business where patients (our customers) are the central point of focus and not targets or balancing the financial bottom line, they will naturally follow when good business practice is utilised.
I have always wondered why it is called the NHS when actually in the main we have hundreds of similar organisations re-inventing the same wheel?
Perhaps a more joined up big business approach to corporate systems, rather than corporate systems at individual trust level, may be more effective and efficient.
I also question the amount of quangos set up under Labour and when a cost benefit analysis is undertaken against organistaions such as the NPSA what benefit has the tax payer gained for their hard earned buck!
I guess in ten, twenty or even more years the same discussions will be going on as no-one has the guts to remedy this politically driven poorly managed (at the very top) institution. Perhaps it is time to swop the NHS to community care as happened with mental institutions some years ago??
Lets hope it improves before I retire.