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The Guardian - UK
The Guardian - UK
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Polly Toynbee

The Lucy Letby case is the latest stick to beat NHS management with. Here’s what the critics overlook

An NHS hospital ward, August 2023
‘Stoking culture wars between medics and managers is tricky’. An NHS hospital ward, August 2023. Photograph: Jeff Moore/PA

Knives are out for NHS managers. The case of Lucy Letby – the nurse convicted of murdering seven babies and attempting to kill six other infants – has become yet another opportunity for NHS loathers to expostulate against it. “NHS management is a bullying, incompetent cult,” proclaims a particularly virulent assault in the Daily Telegraph, ending: “If its managers remain untouchable, how long before there’s another Lucy Letby?”

As I wrote after Letby’s conviction, this was a horrifyingly freakish criminal case. The “lessons must be learned” impulse risks becoming a general stampede against NHS administrators. Of course, the inadequate should be removed, but beware cheap rabble-rousers looking for “savings” by cutting feather-bedded public bureaucrats, pitting them against saintly frontline doctors and nurses.

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