Sorry that there has been no updating of this site for a few days.
I have been in Barbados and Trinidad, visiting hospitals there.
It was impressive to see what high standards of medical care were being provided there with very limited financial resources. Perhaps the secret is that they seem to leave the professionals to get on without managerial influence; indeed they seem to manage very well without Choose and Book, NHS direct, management consultants, or Connecting for Health. I have a feeling that we can learn something.