Lucy Letby inquiry highlights NHS management failures
A letter writer argues the Lucy Letby inquiry reveals poor NHS management rooted in reforms from the 1980s.

Managerialism blamed for poor decisions
The author states that most public services are over-managed and frontline professionals are not respected by superiors. Staff face career risks if they speak out about excessive workloads or impossible targets. This situation has led to plummeting morale among workers.
Roots traced to Thatcher era
The rise of managerialism can be traced back to public service reforms introduced by the Thatcher governments in the 1980s. Power was transferred to managers under the mantra of management's right to manage. The long-term result has been remote senior leadership and the exclusion of professionals from decision-making.
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