How big?

The National Health Service (NHS) is one of the biggest organisations in the world after the People's Liberation Army of China and comparable to the Indian National Railway System. The INRS daily transports 20 million passengers and 2 million tonnes of goods.  


While not denigrating the immense good done by the NHS in emergency situations, one wonders why  £330 million were spent on management consultants in 2009, a sum almost as great as that spent on combined lung cancer and skin cancer treatment and research. 


There are certainly great savings to be made in this unwieldy service.