So two stories have dominated the news recently: horse meat in cheap beef products and failings in a hospital trust.

The supermarkets’ pressure on prices will always mean quality will suffer and sourcing meat from the cheapest source was bound to cause problems. If you want to guarantee quality, use a local butcher with locally sourced organic meat. You’ll taste the difference and help keep small businesses and your High Street alive.

The NHS story ignores the main problem with the NHS: fake management jobs. These layers of middle management with people doing nothing of any use to patients cost a lot of money – money that would be better spent on front line nursing.

I know of someone who skived off work for many months on a couple of occasions on full pay. Her work? Well there wasn’t any work to do in the first place so no-one missed her and nothing needed to be carried out by others working longer or harder.

It’s one of those jobs created for someone they can’t actually sack. They give it a job title with words like ”lead’ or ‘manager’ for someone who doesn’t actually lead or manage anyone. At most these people do reports about stuff that’s completely irrelevant and they sit in meetings to discuss producing these reports. Fake jobs. They report to Assistant Deputy Directors and the like. How many more tiers?

What is needed is a clear out of people who don’t actually contribute to patient care. Everyone should have to write a job description for their own position. What they do, the value that adds and how detrimental it would be to patients if they were sacked. Anyone with the term ‘lead’ or ‘manager’ should be able to show who they actually lead or manage and the benefit they bring.

And the people carrying out these reviews shouldn’t be other NHS Trust managers with vested interests like justifying their own jobs.

But no-one in Government has the balls to do it.