Job losses and over regulation

The NHS crisis continues to deepen. News out today reports concern by senior NHS managers about duplicated regulation within the NHS. Also annonunced today is the loss of 100 NHS jobs in Warrington. There are myths being put about to support the over regulation and cutbacks in the NHS. Regulation is meant to bring about safer, better healthcare but it can be called another name;bureaucracy. The current levels of regulation are ineffective because they are essentially a bureaucratic process. The mistake made a long time ago by politicians is to think that healthcare is like any other service industry when in fact it is unique because of its complexity and its lack of standardisation.With the latter features millions of decisions are made daily on the basis of judgement not a predetermined set of criteria. The lapse of regulation into bureaucracy comes about because regulation is applied as if healthcare is something standardised and easily measurable. The tragedy of job losses in the NHS is underpinned by the myth that this is part of restructuring into better, more community based hospitals with patients needing shorter stays and much more being treated as day cases. That's the explanation that's give when jobs are being cut. What is totally unclear is why have these hospitals trusts and other NHS organisations gone on knowing all along that they could provide their services in a much more efficient way and it needed a crisis in the funding to make them be more efficient? Why have they only just decided that what they were doing was so inefficient that they can cut large numbers of jobs AND make their services better?