Good afternoon, and I hope you had a good weekend. I will add something longer later on (probably much later on), but for now, have a look at the new instalment of The Maynard Doctrine: www.healthpolicyinsight.com/?q=node/264
It won't make every clinician happy, but there is a great deal of truth in Alan's observation that advocating for doctors to be more involved in NHS management is missing the point: they already are, or can be. The point is that the system is not currently working well in reducing unacceptable variations in care and outcomes.
Go read it now.