Gurthaew's experience makes me think, in the light of this post, that ceratin admin bits are seeming to fail not because they are crap but because of political (and thus managerial) pressure to fill the first available appointment slot so as to be seen to be ticking the 'seen asap' box; irrespective of the actual workability of that appointment for anyone concerned. So this sort of thing is more about the politicians than it is about the clinicians or actually the admin arm.