Britain's front-line obesity management could be done in primary care if adequate resources were provided, yet with a few exceptions health care professionals recognise they are not skilled in managing obesity.
The language, developed by IRS workers with the involvement of a "front-line manager" was "not reviewed or approved by executive management, " Ms. Lerner wrote.
The success of the war effort depended on having these ships available and the management figured out better processes and the front-line workers rose to the occasion.
He said the top three factors to improving front-line services while delivering savings are to strip out duplicated layers of management, reduce debt repayments to the banks and drive down accommodation costs and overhead.