Roy Lilley (NHSManagers.net) sums up the cognitive dissonance behind the NHS' problems:
If the NHS top management 'believes that hospitals are run by plans and structures, it will keep producing them.
If it understood that hospitals run through empathy, tender moments, joy, sorrow, effort, judgement, relationships, innovation, determination, inventiveness & skill...
... it might behave differently'!
The problem (as so often is management by spreadsheet).