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I'll suggest some people who should be first to go:

- most of the people earning £500 / day plus for the non-jobs advertised on HSJjobs most days
- most of the people who are commissioning these jobs
- the idiots in HR in each trust who continue to be surprised by the annual changeover in August for junior doctors, and consequently fail to issue contracts, rotas, pre-employment documentation etc in a timely fashion
- the idiots in IT who also continue to be surprised by the annual changeover in August for junior doctors, and consequently no user accounts or passwords are available meaning that for most of the first fortnight in August each year, no blood results or imaging can be viewed by any junior doctor
- the idiots who spend thousands of pounds of taxpayer money each month on "web consultancy", "communications", "branding", "marketing" and other such activities that have absolutely nothing to do with the diagnosis and treatment of illness
- the faceless idiots in trust administration who are always "having a coffee break", "on lunch", "in a meeting", "on annual leave", "only work part time" etc etc who are never available when trust employees actually need to speak to them

How about that to start with.