Never forget the following :I wonder if anyone has done an analysis of the anti vaxxers in the NHS. How many are actually nursing/medical staff and how many are admin? If admin then this could be a good way to curb the ever increasing NHS supplementary staff.
1. The NHS is a monster that consumes something like £150Bn pa, or £400M per day and employs 1.5 million people in some shape or form, which is broadly, 5% of the working population. The popular myth is that there is a parasitic layer of managers and admin staff that exist purely to feather their own nests and that it would be better if they were all sacked and replaced by some version of Hattie Jacques. For context, the NHS spends in 10 days, the annual turnover of Babcock and in one month, the annual turnover of Rolls Royce. That sort of cost control and monitoring does not come easily or cheap. and while it may seem to be best put in the hands of medics, ask yourself whether you've met a doctor who would say "we can't afford that" in relation to staff numbers, ward sizes, new kit etc.
2. Huge amounts of the bureaucracy are imposed on the NHS by the legal industry, via the "rights" industry through pressure on HMG. As soon as HMG legislates to monitor race, sexual identity, unicorn identity, socio-economic status, pay relative to gender, age etc, they impose a statutory duty on that organisation to measure, monitor and report on it. You can't pay lip-service to it, because an army of ambulance-chasers modelled on the Wide-Mouthed Frog, the Kimono Fox-Killer (aka Good Law Project) and/or Captain Hindsight will come chasing after you, waving class action suits, all funded by the tax-payer (natch). That's before you get to stuff that the NHS should be measuring and monitoring, like clinical outcomes, waiting times, experiential base and age profile of workforce etc etc.
I'm not a huge fan of the way the NHS does business, but it has absolutely no control over this. We - as a society, or more precisely through a failure to robustly argue whether a lobby group cause is sensible or proportionate - do this to ourselves. Exactly the same applies across all civil service and local government organisations - and indeed to large corporates.