I know there are some fantastic administrative staff and secretaries at the NHS and I'm sure there are lots of good systems in place too. We get great care and are grateful for it but I can't help but think a lot of inefficiencies stem from shortcomings in administration.
We've had such a frustrating time lately with appointments for DS and family which would have wasted NHS resources too and were completely avoidable I.e. unnecessary appointments because one department not in touch with other and booking things which frankly don't make sense (we've tried to check if necessary if it doesn't look right and it's so difficult to get past the initial "well it says here you are booked in for both" instead of any suggestion of being proactive and thinking logically) being sent backwards and forwards with queries ultimately dealt with by whoever we first thought it logically would be etc. I'd say this is our experience more often than not, except when someone switched on is involved and gets everything sorted out, or we doublecheck everything ourselves and are persistent which I don't mind but I feel ultimately wastes NHS time too changing things.
I don't have the answers (staff training would be fantastic though I'll admit that I don't know where the budget would come from) and I suppose it's a theme with many (but not all) large organisations but it just seems such a shame and puts so much extra pressure on staff.