There is so much knowledge and experience being lost…

…and NHS organisations seem to be accepting it as one of those things despite the impact on services.

It is becoming painfully obvious that resources are being wasted because staff are having to fight the system rather than the system supporting them to do their job.

There are so many fortress mentalities developing that it is going to be reflected in DSPT returns where Trusts may have to admit that the culture cannot be changed to reflect what the requirements are.

Some Trusts are going to be politically damaged and have their reputation thrashed if they do not understand what they are signing off on.

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