I have always had reservations about the running of any public institution which doesn't have to "earn" the money. I don't mean the frontline workers or even the general management, but the institution as a whole. This includes things like the NHS, Police, Military etc. They bid and get awarded annual budgets and then set about spending it, but no-one is held to account personally for delivering value for money to the public, who are the ones funding it. If the institution fails to perform, they claim it needs more funding.
I know someone who is a very experienced industrial purchaser. He did some contract work at a county Constabulary and was horrified at the ineptitude and inefficiency, suppliers were used pretty much unquestioned. When he asked why he was told that they always used those suppliers and continued to do so. They were paying far more for consumables than if you or I went down to the local retail shop.
I also have a bugbear about the apparent design of hospitals. Look at industry and the amount of walking about is purposely minimised, while someone is walking about they aren't doing anything useful. Hospitals seem to be designed to require a maximum amount of walking about by the staff.