They've been incompetent muppets....
Why on earth does anyone think they'll change now.
They regularly breach their own guidelines, they refuse to update or use medical tests and services if they didn't design or discover them*.
They're so far out of date in certain fields that Sir Bernard Spilsbury would be appalled at their backwardness (before he was out of short trousers).
To paraphrase "They're utterly incompetent in every way"
How do I know? Personal experience.
* NDH Syndrome (not designed here). It's so prevalent in the NHS they're considering an entry in the new ICD.