As one of those DH managers - yes, I do read your (and other front-line blogs) and its because I want the same things you do - better quality care for patients. Before you have too many goes at us, remember that all we do is advise - Ministers take the decisions. And most of us are in public service because we chose to be, even though we could probably earn more doing something that feels less 'worthwhile' elsewhere. So our hearts are in the right place, and we do try to get it right, and to listen to people like you. But whether Ministers then listen to us is very different...