SIR - In reply to C J Smith (Worcester News, April 18), I would point out that up to 1979, NHS managers were expected to reflect the spirit of Nigel Bevan's dream and benevolently allocated adequate funds to all NHS projects.

However, with the arrival of Margaret Thatcher in 10 Downing Street the priority for managers changed. It was demanded that they save money, thereby reducing taxation.

With regard to the unjustly demonised ordinary clerical staff in the NHS, I wish to point out that they do vital work such as keeping medical records. If these people did not do such work, it would have to be done by nurses and doctors, who would therefore have less time to spend with patients.

We would have a parallel situation in the NHS to that which apparently exists in the police force. If a police officer makes an arrest it seems he/she has to spend the rest of the shift doing paper work - or so I have heard.

D E MARGRETT,

Worcester.