As someone who works in this industry, that doesn't describe my experience of how hospitals are run at all. The majority of CEOs and those at director level are vastly experienced within the NHS and have spent most of their career working their way up the ladder from clinical or operational roles. In the vast majority of situations it isn't a case of not enough money to spend on Drs and nurses but not enough Drs and nurses available to fill vacancies. We often have the money but there aren't the staff we need available so we end up paying a premium for agency and locum staff. Staff are also underpaid and overworked so are unhappy doing their jobs. Ever changing teams makes it harder to spot patterns in people's behaviour. Desperation to hold on to staff and not lose anyone means when staff were saying she should have been removed everyone is probably thinking incompetence, which can be improved with support and training, rather than presuming malice/murder.
I don't disagree that there is an issue with whistleblowing and bad behaviour. That's not just the fault of managers though. Doctors are often running departments and they were trained a certain way and expect juniors to experience the same things they did with regards to long shifts etc which is bad for patient safety.
In general though all of the problems are around not having enough trained staff and most of that can be corrected by paying more and making the jobs more desirable.
Don't forget that this is an extremely rare case. It's not like every hospital is failing to spot a serial killer within their midst.
