The public are fed the lie that there is too many managers and admin staff and this is the cause of monetary waste. Thus, the NHS has consistently run on very low numbers of support staff and clinicians waste time doing admin tasks and there is no time for managers to do more than fight fires.

This positions the trial as an experimental medicine study capable of uncovering LongCOVID disease mechanisms associated with virus-targeting treatment.

The study still shows ventilation is an important measure particularly where people are in shared spaces for long periods of time. It also highlights the need for more data on virus distribution by aerosol size. Exp show there’s more in smaller sizes, but it’s hard to measure the medium sizes 7/

Some of the efficiency plans are quite ambitious. e.g. DHSC expects to make 1.5% effieciency savings every year, compared to 0.6% per year productivity growth 95/96 to 18/19. The plans also have a lot of gaps. e.g. how exactly will they reduce sickness absence rates and improve retention?