“Muddled” is our favourite word at the moment because it is an accurate description of everything that is going on.
The lack of continuity, the lack of knowledge and organisational memory is increasingly having an impact on what is happening.
Some examples that we are seeing are just silly and some are really serious – see http://www.pulsetoday.co.uk/home/finance-and-practice-life-news/practice-put-at-risk-following-delay-in-removal-of-violent-patient/20032384.article.
What makes it even more complicated is the double talk and carefully crafted responses that as you read and digest them you realise they have actually said nothing.
Someone has owned the message but the message is empty.
People are getting extremely cynical about that type of approach with Brexit being a clear indicator that message and actions should should meet somewhere in the middle.