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Well done on this report. Much of the management structures and "bureaucracy" have been generated in response to meeting the demands for information and assurance from on high. Each time there's a systems failure we're required to give yet more assurance by filling in more and more paperwork and processes but in reality this will not stop systems failures happening in the future because this is not the answer; it's the culture and quality of leadership that matters. Over the years we've seen many reviews on reducing the burden of bureaucracy from above but seen a very limp response if we've seen a response at all. I really hope the high profile and timing of this report means that this time things may just be different, but it will be a triumph of hope over experience