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Further to the comment of ANONYMOUS 17-JUL-2013 8:29 AM that the NHS needs managers with a genuine interest in patient care I would assert that the entire organisation needs to undergo a re-connection with the original caring mission of the NHS. The provision of patient care is the ultimate function of the NHS and therefore the ultimate 'business result' that should be measured and towards which every activity should be focussed. The legendary tale of John F Kennedy visiting what was then Cape Canaveral comes to mind: The President approached a man in overalls sweeping a floor in a large hanger and asked what he was doing; 'I'm helping to put man on the moon Mr President' came the reply. Imagine if everyone at every level of the NHS had a belief that they were helping to care for patients...now that would make a difference!