All signs of a system that is not working. It takes time, effort, clear thinking and ongoing adaptability to ensure that each part of the overall system is functioning, that they are functioning together and that outcomes are improving.
The current system seems to be very inefficient, so we are not getting anywhere near the outcomes we should be getting.
Focus on metrics for one part of an overall system is hugely misleading, but can be easy for some of our less intelligent politicians to latch on to and lazy journalists to repeat without considering wider implications