"Unhelpful bureaucracy?"

Two examples:

Dermatology - I have had alopecia for over 3 decades. At the outset was referred to wig providers through Colchester hospital. Over the years it had not been necessary to go back for repeat prescription for the wig as the wig providers had details. The hospital now has a new policy whereby a fresh referral is required. Fair enough. However, it's little short of bureaucratic. Telephoned the dept but they did not return my call for a week, but called within minutes of I emailing them to say would raise the matter at a senior level. I was told I have to see my GP who then has to refer me to a dermatology consultant, then once I have seen the consultant he/she will deal with the referral. Is a referral and all that involves really necessary? My alopecia is the same as before which the wig provider or the GP can see. It would waste GP time, increase the waiting list whilst waiting for dermatology app, and waste consultant's time, all this when govt is trying to reduce waiting list by authorising pharmacies to take over some medicinal roles.

Oral Surgery - been in pain for some weeks. On day of app and over the weekend had excruciating pain, not able to open mouth to speak, eat or drink, without experiencing agonising pain. Had not been able to eat/drink much over the weekend. Asked the doctor to give pain numbing injection. Declined, saying the appointment was for consultation only and advised me to take stronger pain killer tablets as paracetamol had had little impact. Appreciate the doctor would have only been following the policy, not to treat the ailment during consultation appointment. Options left - put up with pain for several more hours waiting for stronger pain killer to take effect if it did, and not be able to eat/drink much again, or could go to A&E and add to the clogged up waiting room though on a previous occasion when had to go to A&E for the same type of pain was told no one available to deal with pain in the mouth.

Are the management who make such policies deliberately trying to create longer waiting list to justify their demand for increased funding from the govt, or is it just that they have absolutely no idea of how to make practical policies. Should get rid of most of such managers and make the consultants in charge of policies for their department.