A man in a hot air balloon realized he was lost.
He descended a bit more and shouted "Excuse me can you help me? I promised a friend I would meet him an hour ago but I don't know where I am"
The woman below replied "you're in a hot air balloon hovering approximately 30 feet above the ground. You're between 40 and 41 degrees north latitude and between 59 and 60 degrees west longitude."
"You're very precise. Are you a doctor" said the balloonist
"I am" replied the woman, "how did you know?"
"Well" answered the balloonist, "everything you've told me is probably technically correct, but I've no idea what to make of the information and the fact is I'm still lost - frankly you've not been much help at all. If anything you've delayed my trip by our talk."
The woman below responded, "you must be in NHS management"
"I am" replied the balloonist, "but how did you know?"
"well" replied the woman, "you don't know where you are or where you're going. You have risen to where you are due to a large quantity of hot air. You made a promise which you have no idea how to keep, and you expect people like me beneath you to solve your problems. The fact is that you are in exactly the same position you were before we met, but now, somehow , it's my fault."