Structured training? Yes; step by step. With hands-on experience (at least a couple of years) between each level.
Unstructured industry? I assume you mean the NHS. So, no; I doubt it can be fixed. It's too big, too unwieldy, and "engineering" does not really sit at the Top Table, if you know what I mean.
But don't despair. The last time I looked, things outside the NHS are generally, shall we say, a bit more organised. Tighter, and very little (if any) "dead wood".
