More ridiculousness from the powers that be.  One year down the line the Department of Health has finally got round to fleshing out details of its ‘top leaders programme’; c. 1,000 ‘leaders’ (up, it seems, from the original 250 planned) drawn from 50 NHS-related organisations identified as ‘needing the most senior leaders’ to go on a fancy leadership development scheme.  You can only imagine the 1,000 clones walking out of the factory, primed in meeting the latest central initiative and playing the NHS game… or am I being overly cynical?!