Arrgh that be a roight shambles that be, arrggghhh.
Save a whole lot of money and abolish all the beauracracy. Return it to what is was always meant to be, a national health service for all, free at the point of use, paid for through taxation. Abolish all the pointless levels of management, the accounting, the trusts, the profit centres, the management comitees, the accountants, the accountants (double entry, y'see, arrghhh). Pass me that rum there would you boy - me wooden legs playing up again. Arrrggghhhh.