UK's healthcare system has real serious issues, sorry but the Victorian era is over, stop underrating all the protocols, procedures and recommendations from your American and European counterparts.
And don't say it's because UK population has different needs, one example, two hospitals at London same medical specialty, they recommend different medication doses for exactly the same treatment in their protocols.
No specialty chiefs, no teams, no supervisors, only solo consultants.
From what I've heard the fact that every single hospital insisted that it's requirements were special and that they could never standardize was one of the contributing factors in the great NHS systems disaster.
Of course, the other part was the the consultants doing the analysis were quite happy to work with this complexity as it meant more billable time for them - they had no incentives to make anything simpler.
NB I'm not implying that medics should be forced to standardize when it isn't relevant - getting the right level of standardization of processes is why implementing these kinds of systems is so difficult.
And don't say it's because UK population has different needs, one example, two hospitals at London same medical specialty, they recommend different medication doses for exactly the same treatment in their protocols.
No specialty chiefs, no teams, no supervisors, only solo consultants.