I don't need management consultancy mansplained, thanks. I've employed them across my companies and have friends who have worked at a high level for McKinsey & Accenture etc. They provide a wide range of services. However, my point that if you consult them on management issues they will recommend you put in managers comes from personal experience.
In addition, the medic friend of mine mentioned above who left McKinsey was sent to advise the NHS in the NE. She became frustrated that she was basically employed to recommend they increase their management infrastructure, when what they really needed was better streamlining of existing management and more medical staff.
That was instructive in her move to retrain as a medic.
The question of over-management in the NHS is sometimes regarded as a myth. However in 2016 the number of managers employed by the NHS rose by more than 6% compared to the overall rise in the health workers rose by under 2%.
Dr Mark Porter, BMA chair commented:
"Many NHS managers do a good job for the NHS in difficult circumstances, but it is surprising that when many areas of the NHS are suffering from unfilled posts and staff shortages, the number of managers is beginning to increase again."
"Many bodies, including the Royal College of Nursing and Royal College of Midwives, have reported under staffing in their specialities that is already having a damaging impact on patient care".