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Before swallowing the McKinsey prescription, it is surely preferable to get into shape by downsizing a bloated back office - not least the contracting of vastly expensive outside consultants - and to concentrate on the core business of making sick people better.
It is self evident that large savings have to be made, but, in the name of sanity, let's start by pruning the battalions of overpaid, 'wheeze a week' functionaries rather than those on the front line.
From where I stand, as chair of a patient group, it seems that the Health Service continues to pinch pennies at the frontllne, whilst squandering squillions on ever more bureaucratic micro management
David Gorrod