Less fucking managers. That’s what.
I started in the NHS in 1985.
There was a Charge Nurse (think Matron if you want), then a Manager of the hospital wards, then the manager of the hospital, then a Manager of the local Health Service, then a Regional Manager and then the Health Secretary.
The fucking tories and their bastard Trust system happened.
We had managers for managers, secretaries for secretaries and VERY certainly in Learning Disability Services in Leicestershire career managers who would fly in, build a house of cards and then quit just before the collapse.
We had managers like Elaine Moore who were just terrible on an epic scale.
Every management layer sought to insulate it from ANY event by demanding more secretaries, more sub-managers, “team leads” and all manner of other jargon to save themselves and their pension.
Want to save the NHS?
Sack 90% of the fucking management structure.