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On reflection I feel that this article demonstrates not only why the NHS is in the state it is now but also the real challenge it is facing – too many managers and not enough leaders. In this time of crisis the NHS does not suddenly need a debate about issues that managers –and politicians- have been avoiding for years. It needs true visionary leaders, who can step up to the plate and help it to find and implement radical and effective solutions –in other words: innovate.
I understand that Mr Britnell has been a high flying career manager in the NHS, was recognised as best of breed and as a result poached by the private sector. His advice therefore can be considered to be symptomatic of how managers throughout the NHS are trying to deal with the current situation – let’s talk – whereas we all deserve clear thinking and workable solutions. If this is what the best of breed are working on, God help us all.