If you have tiers to shed, shed them for the patient.
If the NHS has one tier too many, perhaps this is true also of the nursing management structure inherited from Salmon. John Pealing, district nursing officer, SE Staffs, and based at Burton-on-Trent, describes a structure in which nursing officers are accountable to the divisional nursing officer, without an intervening tier of SNOs.
D009738:Nursing Service, Hospital / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom