It has long been recognised by those who 'produce' that those who 'consume' are always fatter. The problem is that PCTs in common with other quasi-expert bodies exist solely for their own sake rather than the benefit of those they are supposed to serve. Added to this they shroud their function in mystique and/or mumbo jumbo to confuse any who would attempt to find their true purpose; such exposure to full sunlight may well affect their longevity in a similar manner to other vampires.
There are those individuals who truly attempt to do the job properly but are swamped by those who wish only to live on the fat of the land. Unfortunately these same well meaning people are often powerless to either control the greed of their fellows or to expose them.
All very sad really. But then it is the way of a society that allows job creation (it can occur in industry as well) to ensure low unemployment and feed the egos of certain types of individuals.
Quangos may be slightly curtailed for now, but do we have the 'weed killer' to destroy the roots and stop their regrowth.