NHS change

I get fed up with NHS changes. Just when you think that you understand how things work and there is an element of stability then everything changes again. I think this is because of the managers within the NHS and reflects the problem of management within the public sector. In the private sector a manager is judged by their contribution to company profit. However in the public sector everything is different. Because managers in public services do not produce anything (and actually cost the organisation) then they have to create the illusion of productivity by initiating change. Through changing things in the NHS they can make it look like progress or improvement. The hardest thing to accept is the way that Agenda for Change was applied to management. The biggest component of AfC scoring was for clinical activity,so in my thinking this should have made clinicians more highly paid that managers lacking clinical contact or expertise. This is definiely not what happened. I heard a rumour that one of the reaons for NHS financial problems were the large salary increases for managers under AfC. Just a rumour or near the truth?