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  The rubbish workers are simply in the wrong job and not managed effectively. Poor recruitment started it, when the NHS dithered about what it wanted from nurses and doctors and failed to ensure consistent and measurable standards and failed to performance managed; poor management compounded it, when ineffectual workers were booted upstairs because they weren't challenged or managed out; poor resouces administered the death-blow. I have sat through interminable meetings with intellectually challenged power-drunk pi**-poor managers who can't make a decision between them and when it fails scout about for someone to blame. Predictable and avoidable if someone with some real b***s managed it properly. I have witnessed appalling shoddy careless thoughtless practices by nurses which appears to be the norm, as no-one else seemed to notice it, and when challenged about it simply became hostile or again scouted around for someone to blame. Did a nurse put the plate of food at the bottom of the bed so that the elderly person couldn't reach it and then take it away saying the patient didn;'t want it? Shortage of staff!! Did the nurse fail to complete the important fluid charts that are crucial to the monitoring of wellbeing and vitals? No time!! never anyones responsibility, never time to care or support. And the shame of it is, the decent ones leave because they are outnumbered and there is no collective will to sort it out properly. Slice and dice is what's needed.

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