Dalrymple again finds corruption and dishonesty in the NHS bureaucracy:
[Chief Executive of NHS England Sir David Nicholson] admitted, however, that no one would know exactly how many people had been made redundant and then rehired somewhere in the NHS as a result of the reorganisation,
‘CCGs [clinical commissioning groups*] do not collect that information in the same kind of way. I don’t have that information.’
In fact he doesn’t have it approximately, let alone exactly, because no one has an interest in knowing it; everyone, rather, has an interest in not knowing it.
Everyone who has worked in the NHS is familiar with redundancy payments to managers as a prelude to their promotion elsewhere in the service, irrespective of whether or not a reorganisation is taking place. (Reorganisations are necessary before the failure of the last reorganisation becomes incontrovertible.) Ever since Mrs Thatcher introduced general management into the NHS, it has been [an] inexhaustible well for bureaucratic looting and self-enrichment.