Deck Chairs on the Titanic?

Will the re-organisation of PCTS make a difference?
Our old one was frequently inept and messed things up by amateur negotiation skills, inability to make decisions and poor record keeping.
The new one consists of the old one plus another even more debt ridden PCT.
The staff of the new one are virtually the same as the previous two organisations. It is difficult to see how things are going to get better (where have I heard that before?)
The newly appointed intrim PCT CEO executive said on the telephone to me that a particular consultant "was not one of those money grabbing doctors " she went on to say that she didnt like hostility or threats- I think she might be in the wrong job