Look after the pennies ...
/It is an old saying that if you look after the pennies the pounds will look after themselves. Maybe, but one might say that being focused on details means that one misses the big picture. It seems to me that this is the effect of the government's transparency policy: by enabling anyone to see details of payments for £500 swamps them with masses of data but they aren't really holding anyone to account. Accountability, you see, requires explanation as well as information (just as accounting requires words as well as numbers). Knowing what £500 was spent on does not tell you whether it was spent on the right thing. As Carnegie and West put it: “a hospital that is well managed in financial terms cannot be presumed to be meeting a community’s needs for health care.”