I'm genuinely not trying to be evasive, Marsha, but it's a bit difficult when "influence" is a nebulous thing which doesn't always make the light of day
I really comes down to long experience of how the public service operates - no insult intended to those who work in it, just a simple recognition of how things are, and how the prizes are reserved for those who toe whatever today's line is
I had to smile about NICE "being concerned with cost effectiveness" though, especially when we have government ministers who've been found to have behaved illegally during Covid, and when the already-mentioned Dido - a woman who's failed at practically everything she's ever touched - was put in charge of T&T and now reportedly wants to head the NHS
Still, it makes sense in light of Hancock's infamous remark about "putting the cherry on Dido's cake" - a revealing slip he'd have done better not to make, like some other things