"The slow-burn of Thatcher/Blair/Cameron “reforms” to the NHS has placed ultimate strategic decision-making power firmly in the hands of managers who dutifully and blankly pass down political instructions from the Department of Health in the name of “Evidence-Based Medicine”. Clinical autonomy has all but disappeared, and the sad thing is that most younger doctors - products of the new corporatised “do as you’re told, think as you’re told” university system, don’t see anything wrong with this at all (more than that, they don’t even see that it is a problem.
The Bolshy, golfing old boys who ran the British medical profession back when I was in medical school, have pretty much all taken early retirement now, driven out by the roboticised, woke, protocol culture of NHS managerialism. The old boys knew how to think for themselves, and they knew how to weigh and judge and if necessary argue about real scientific evidence - a skill that seems to have been ditched amongst younger medics in favour of blind, polite obedience to what “The Evidence” says - no matter how self-evidently ludicrous." Well that's a good "potted history" thanks Mick... it's "gun-to the head" politics....do what we say or you won't be a member of the profession... the dissenters weeded out throughout the process of education to produce compliant automata..