As someone who largely worked at startups and smaller companies before joining the NHS it genuinely confused me how no one would ever say no to anything when I first started working there.

The projects I worked on were genuinely absurd... My team alone spent millions on things that literally wouldn't have made any difference to the quality of healthcare in the UK.

Apparently we were given a budget and we had to find a way to spend it otherwise it would be cut. At any normal company we should have all immediately have been made redundant.