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Oh for heaven's sake read properly! Of course it needs senior (and junior) managers. Just ten percent less (for starters). There are vast swathes of bureaucracy that could be managed without.

Yeh, privatise everything - that always works well, doesn't it? I mean, where would our rail services be if we hadn't brought in Southern to sort it out. And I'm sure the government will step in and sort it out when the anaesthetists go on strike in protest against cost-cutting surgeon-only...

Just take out a random ten percent of managers and admin. for starters, mainly among the top earners (sorry - I mean make redundant, not 'take out'!) And I'm talking from first hand experience - I used to work there!