I think Mr Rowen is correct. Unfortunately this is all too typical of the managers in the NHS today. When I worked in a local hospital I remember waking up one day to find that the former hospital manager was now a 'chief executive' and we had new coloured notepaper and logo to pronounce the fact. A complete waste of money which a few years later was compounded by a decion of the NHS hierarchy in London, that all hospitals should have similar letter headings. was again wastefully