And the simple answer to that is how many Managers are there now ?
Jobs for the boys at inflated salary rates !!
For every new manager they put in they probably lost 2-3 ordinary workers (nurses etc) these managers then out sourced as many services as possible to cut costs which in turn cut standards which in turn caused more infections, errors and uncleanlyness which equaled inefficiency.
The out sourcing meant an increase in low paid jobs which usually means workers being part-time or casual labour who are usually migrants and often illegal migrants. This it turn also means those employing them are making larger profits but not paying national insurance for the "casuals" who are usually also not paying tax. This is a lose lose situation for the nation's systems but a win win situation for the out source companies who in turn are no doubt the companies supporting the political parties.
In the old days it was a Matron and Sister who ran the wards and all that was required on them. Now there is a Ward Manager, an Admissions Manager, a Bed Manager, a Hygiene Manager, a Catering Manager, a Shift Manager, an Administration Manager, a Statistics Manager, a Managers Manager and probably a Manager of F**k Ups Manager, then there is the 2 people below them !!!!!