IMHO a major problem was the introduction of a quasi-capitalist "internal market" on dogmatic Thatcherite principles. It is furthered by the irrational Blairite belief that the "free" market achieves optimum distribution of resources. Resources are wasted on nose jobs and viagra rather than real needs.

What is needed is a properly planned economy in this sector. And permanent staff not agency staff - whose agencies get the cream (and cream the NHS) while the staff are exploited and thereby demotivated.

Oh, and another thing that would be nice is less "managementspeak" (aka gibberish)