The appointment for diagnosis

I am bewildered by the email I received from the healthcare body. This body lays down recommendations for best practice, and has no authority to see that they are implemented. The recommendations are not binding, and are completely meaningless as far as I can make out. I am feeling quite angry that there appears to be nobody with any overall responsibility for bad practice. I want to make a big noise about the appalling treatment that people like myself are being subjected to. I haven't a clue where to go next. I'll have to think about it.