One of the biggest problems with all these horrors is that when organisations such as the NHS hurl themselves into the mess, it is almost impossible to stop the process, as departments, directors, education courses, with lecturers and consultants, are created and become part of the vast system of recruitments, objectives, appraisals and promotions. The only way round it is for the redistribution of people and other resources into the next hot topic. You could call it the 'Howell System', after Denis Howell, who during the 1970s was Minister for Sport, Minister for Drought, and Minister for Snow.
One of the biggest problems with all these horrors is that when organisations such as the NHS hurl themselves into the mess, it is almost impossible to stop the process, as departments, directors, education courses, with lecturers and consultants, are created and become part of the vast system of recruitments, objectives, appraisals and promotions. The only way round it is for the redistribution of people and other resources into the next hot topic. You could call it the 'Howell System', after Denis Howell, who during the 1970s was Minister for Sport, Minister for Drought, and Minister for Snow.