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It’s not just about the end user though is it? In business if you ran an organisation so wastefully, you would go bust. The NHS continues to be propped up despite disastrous management.
Just two examples from either end of the spectrum:
1) A local senior NHS manager who was provided with a car as part of her package, all costs including insurance for all family members paid for by the NHS. So she basically gave the car to her two teenage children to drive around in (and they crashed it twice, paid for by the NHS) while she continued to use her privately owned car for work.
2) In 2012 a brand new huge state of the art hospital was opened in our area. In 2016 I went to A&E with my son, and although there was not a huge queue, we waited ages. The reason was that the whole of the department was being redesigned, so most of the cubicles were under plastic sheeting while the builders knocked down walls, and staff attempted to treat people in corners. The doctor we saw was livid, and said it was all to do with a new manager not liking the way it had been laid out previously.
We are now fighting to save our stroke unit and maternity department, because apparently they can’t afford to keep them open.