Your right, you can talk till you are blue in the face about the benefits but as soon as they wont reach a target its arse twitching session and the funds are available. We find the same with equipment, no money available but you say that a ward has to close due to not enough equipment and hey presto someone found some.

If the ebme departments held an equipment budget it would cut down in a lot of pissing about. We know when stuff is coming to the end of its life and instead of throwing good money after bad replace it.
We spend alot of our time giving the wards scrap notes, over and over again for the same kit.(they keep on losing them) The kit doesnt get bought but there appears another layer of buerocacy sorry I meant management.