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    MArk, there are many decent people doing those necessary jobs, and it is true that the NHS in particular relies on the goodwill of the people in post to go the extra mile. But let's be honest as well as valuing the good ones: if we didn't want to do some good we wouldn't be in those jobs, so a little extra mile work is probably not surprising, and of course it needs to be recognised and valued. But there are also, increasingly given the appalling changes in training over recent years (and that isn't party political), dreadful practitioners who, because they will do the extras, are tolerated. It is partly what leads to the awful Baby P type cases. So, yes, let's value those people who do those difficult and unwanted jobs but don't lets be blinded to the realities as well.

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