Do you need all your middle management?

Removing middle management to allow more money to be allocated to the clinical services and research. It seems like the chain of command is long so change and meeting the clinical needs are hard tasks to achieve. For example, some of the condition of offices the clinical team work in are not okay and it takes years, lots of fighting and many people to sign off before solutions are offered to improve workspaces. I understand the requests are prioritised. Maybe improved working conditions will prompt staff to stay?

This idea is important because it will prompt a review on where money is going and whether there is a true need for all the decision makers employed when their salaries could be used to employ a number of nurses, more beds, more equipment or better working environments.