The NHS is the most undermanaged large organisation on the planet, but, because managers are regarded by the popular press and much of the public as being synonymous with blood-sucking bureaucrats, they become a focus for cuts.
Moreover, the BCBV indicators are probably only the tip of the iceberg. A thorough analysis of NHS activity across the UK might reveal as much variation as Wennberg's work revealed in the USA. Unfortunately nobody in the UK has yet thought it worthwhile to do the analysis for the NHS with the same level of rigour.
I am concerned that the only catheters supplied are latex (allergic to them) and silicone (cause frequent infections). catheters are changed every 2 months. Expected to deal with frequent infections by antibiotics and high dose painkillers within the period. Antibiotics no longer effective for me because of over use. I was fitted with a silver coated one from USA which was great and never got infected but no longer imported. I am willing to import them myself but local Health Centre won't fit them. Only if I really fuss is the catheter changed before 2 months is up. I live in Wales. I am fearful catheter users are heading for premature deaths.
My son, living in England has had his diabetic pump removed with which he has successfully managed his diabetes. Why? it worked.