The people here, they're just meant to be saving lives But instead we're spending half the day just chasing files It's all been boiling down to Health And Efficiency We must be prudent, must cut back effectively and After twenty-five years of underfunding and neglect Well what do you expect? A madman going berserk in A&E Six-hour waits and the nurses rushed off their feet You can't open up the beds when they've been sold off And you can't magick up the staff when they've been laid off And you can't bring back all the patients who have dropped off And who'd want to work in the NHS these days? But BUPA won't let on That their private healthcare's just a con You can't just expect quick-fix solutions When the problem's at the core of the institution And the improvements that you seek - well they won't come in weeks, but years And from the cancer ward to the boardroom There are voices not being heard and there is doubletalk And daft performance targets to maximise stress And half the week without rest.