ronib
Seems to me that the problem with the NHS is that it has become a vast bureaucracy and patients are required to leave all thinking about treatment to the bureaucrats.
For example, it’s impossible to ask for add ons to blood tests so if a blood test is scheduled for x & y and a request for z appears, these requests must be submitted separately. So the patient becomes a pin cushion. This does not happen in Germany for example. It also costs more to employ two phlebotomists. Multiple this many times and it’s no wonder costs are rising. Nothing at all to do with Labour, Tories or Liberal Democrats but entirely down to the huge bureaucracy which is destroying our NHS.
Unfortunately, with mammoth organisations like the NHS, systems have to be put in place to manage them.
What appears to happen is that the systems become the dictators of the organisation - so anything that occurs spontaneously outside of the systems cannot be incorporated within them, and therefore a new process has to be started from scratch. Which is what is happening with the blood tests you mention.
In the end, everything has to fit the system, rather than the system servicing the needs of the organisation.
The "computer really does say NO".