In reply to The Lemming: Do you want a simple, serious answer? Well, it's this:
Every fecker - starting at the bottom - starts taking responsibility for their own actions. From the cleaners who sneak off for a crafty fag because they can get awya with it - to the porters who finish their cup of tea before wheeling the sick kid to the X-Ray - to the nurses who finish their anecdotes about the night before before answering the buzzer - to the junior doctor who thinks this doesn't seem quite right, but it's not his problem - to the consultant who thinks, well, I'm a clinician, management is for the unspeakables - to the managers, who have no idea why they earn so much, but continue to play the game and continue to earn stupid money anyway - to the politicans who, I doubt, have read a single, respected, peer-reviewed article in their entire sodding lives. Every one.
To summarise - when anyone in the NHS points the finger, they should remember two fingers are pointing back at themselves.