If the NHS was to make savings the need for merging, downsizing, rationalising or whatever other term is used to cover the reduction in NHS services is used would become unecessary, eg: the centralisation of procurement would save and enormous amount.
This approach is used by industry to keep the costs down i.e. ship, aircraft, car, et al use this mechanism with great results.
Perhaps, also, the NHS should recruit less mamangement personnel but more opeatrional staff and an upward design of the aborted NHS IT system.
If industry used the downward design approach it would fail every time. Give some responsibility/say to the ‘teeth soldiers’ to provide input to these systems.It is after all they who will need to use it.
MARTIN COOPER-MITCHELL, Friston Close, Seaford.