I hope you're posting this because you agree!

With reference to this new paper from @kathcheckland.bsky.social and team journals.sagepub.com/doi/10.1177/...

I don't think this is a fair description of what happened. Kathleen Stock wrote a book. The response included masked students yelling at her to the extent that the University told her they could not guarantee her security. That isn't just 'opinions you don't like' - it's bullying and intimidation.

Might be a good time to resurrect our historical review of previous NHS organisational structures....
researchonline.lshtm.ac.uk/id/eprint/46...
Short version: however you organise it, you always need a number of layers to effectively manage something as complicated as the NHS