Money of itself, however, will not solve the problem, given that the management of the health service has been a failure. It is one of the ironies of life that many officials, particularly in the Department of Health and Children and the Department of Finance, constantly seek to introduce performance indicators to the health service, notably through the Health Service Employers Agency. They always start at the grassroots, trying to impose performance indicators on nurses, doctors, orderlies and so on. Good management, however, dictates that in order to transform an organisation, one introduces performance indicators and changes values and attitudes at the top first.