Another perspective…
I have lost count of the number of times I have gone to work to find (amongst others)
1. Operating list cancelled – no beds to put patients in – thus get paid to do sod all, patients have to be done elsewhere/out of hours for payment
2. List running late – short staffed, can't send for the patient blah, blah
3. List running late – the ward got confused and the patient isn't ready
Most NHS surgeons like working hard. (most). Often the reason for poor usage of capacity is not the operating surgeon.
The comment above about social care is very valid – increasing numbers of hopsital beds are full of patients who do not need to be in hospital awaiting social care. Social services are excellent at dragging their feet – although again may be matters beyond their control…