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Yes Bern is right...Managers are often undervalued and they seem to be the nations favourite whipping dog these days. But good managers are vital in all walks of life. Perhaps the simplest way we see this in action everyday is in Football where the same few managers. Ferguson, Wenger, Mancini, gravitate to the top every single year. Its not a co-incidence.
Sack the manager and yes indeed you save money but you become directionless. Its like those Rebels fighting west of Benghazi...very well meaning but with nobody in charge they simply loose their aims goals direction etc. They have no manager but run about following the headless chicken principle.
It could be like this in the NHS..lots of well meaning participation but nobody powering forward to a goal...just lots of well meaning headless chickens.
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