We are stuck with the private management wether we like it or not and for better or worse its hear to stay for the foreseable future. The state could not afford a lot of what went private and still couldnt so now its a case of let them be run as cost effective as possible. The NHS has got too many layers and does need the diet to free up money but it needs to be done as efficiently as possible without causing large amounts of agro. Its size and budget make it hard though not impossible to manage and regardless of who is in power it will never be perfect. It is a learn by your mistakes senario and at some point a balance will be reached.
As to mancies point about lowest bids I agree its far from perfect as even the company I work for have gone down that route in order to save money and not have to worry about what they get providing those doing the subieing reach the minimum level required. We may not like it but the laws of economics dictate that it has to be done and will be done in the future. The NHS may not be there to make money but any money saved will be plowed back in to the services we expect.
No pain no gain unfortunately.
