Surely, as a nurse i am accountable for my actions and omissions which is upheld by the state regardless of the existence of mitigating factors such as staff shortages unwieldly workload or overload. Therefore, The Secretary of State for Health must have the overall accountability and responsibility for the National Health Service. To allow the NHS to be part run as private opens it up for exploitation by the very people who put it up for Privatisation!! Such policians and influencial people end up owning huge chunks of the private companies involved in running Public Services such as the NHS and Prisions.