IT is becoming increasingly obvious that the main faults in the NHS are due to poor management by those who are supposed to be managing.

Glaring examples are the endless encircling cars trying to find parking in the Worcestershire Royal Hospital.

The recent mad changes in the GP Primary Care appointments system has led to absolute chaos, with people having to spend hours trying to get through to their surgery - and then they do not see their own doctor.

Then there are the shenanigans with the excellent facilities at the Kidderminster hospital being downgraded and the caseload offloaded to Worcester which is in a state of crisis already.

Many administrators have little training and are pushed up from some other job. The staff college is badly needed to pull its weight in training the untrained - or is it the untrainable?

A cadre of first class administrators is needed as an emergency measure to sort out this tangled mess.

DR C ENTWISTLE,

Droitwich