Apologies for my assumption. What capacity did you work in?
I make no excuses except for the fact that with the limited resources the NHS has, it does a pretty good job. That is from my experiences working in govt run institutions in Asia, Africa, the USA and a few European countries as well. A private system works well if you have money, but having woked in the American system I know the contempt with which people who dont have money or an adequate level of cover get treated with. I can expand on that having seen ventilators being shut off due to running out of money, something which would never be done in this country. But that is for another topic as I could go on for a while as to the shortcommings of a private system.
You may have a problem with (?University hospitals Leicester), but I have worked in at least 12 hospitals over the last 16 years and there is a difference in how services are provided across different hospitals. A dragon style matron is not the answer to the problem. That being my point in response to your original post.
Lastly with regards to infections; hospitals are a bed of infections due to very nature of sick/ill people who conglomerate there. So yes going into a hospital has its risks of picking up an infection therefore given the term "Hospital Acquired Infection". The risk of a patient picking up a HAI is 4% per day you stay in hospital. Irrespective of which country, latitude, matron, CEO or cleaning technique you use. That is a fact and you may not accept it, but it will not go away. On the other hand trying to discharge a patient so when they are well before they get an infection are usually countered with the argument of "oh, but I dont feel ready to go home, can I stay for a few more days till I feel a bit stronger". Try explaining to the patient that you want them to go home when they are well and before they pick up an infection is countered with a response of "Oh so you want to kick me out huh?". Either way you cannot win.
So yes my answer to your question is that you are at risk of picking up a HAI when you go into a hospital. I am not biased, that is a fact. Just like the fact that if you were to drive on a road you could be involved in an accident that could claim your life or worse still leave you paralysed!
C diff take hold? Basic medicine. You give a patient antibiotics they have a certain risk of getting C diff. It has nothing to do with it getting hold of anything. It is a statistical risk. Happy to post a proper article on C diff if there is interest. Not a wonky version off wikipedia or the like.
Staff shortages = existing staff having to work tired, longer hours, many doing extra unpaid shifts. So making one of them a matron who orders people about is again not the answer. It causes dissent and a sense of unequality. What needs to be done is to get the matron to pitch in as well and do some work. Which is why there are no more "Dragon Matrons" any more.
Is it perfect, no. Can it be improved, yes. Is it a terrible system, no I dont think so. Is a dragon matron the answer to the problem, no.