Cutting admin requires a complete overhaul in the attitudes of the general population towards the NHS.
Loads of it is providing accountability, or proof that a trust can whip out if they ever get sued showing that 'something was done'.
Take the nursing admission and discharge paperwork 'packs', they are literally like mini books!
(Oh, and if I was health minister I would cut back most of this infection control madness that has swept the NHS and leaving only stuff that was properly and rigorously evidence based. Which numpty decided to ban flowers?)