Might I point out that despite govt and media propaganda to the contrary the NHS is one of the most efficiently ran healh services around. It spends way less per head than say the USA on admin. What is a problem is the increase in bureaucracy which is true. But may I point out. This increase in admin is not caused by the NHS. Its caused by govt acts of parliament, guidance and ways of working directly driven by the govt not the NHS. As an example, the health and social care bill has massively driven up paperwork for people. Every bit of spending must be accounted for to bill the local CCG's and put services up for bidding by private sector companies. This means increases in admin, admin workers, management etc etc. This bill was passed not by the NHS but by the govt. We now live in a deeply legalised society where everything must be accountable. Massive increases in risk avoidance (paperwork) driven by govt dictats, compensation culture, blame for this and that (driven by the govt).I could go on but these changes in society and accountability together with a blame culture and an increasingly micro managed culture driven by the govt need for accountability for every penny is not driven by the NHS. It just reacts to what is required to meet the needs of a changing society and a need for more accountability driven by...….the Govt.