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  Bang on, Howard. I am repeatedly appalled that academic attainment is prized more than care and heart. Common sense, respect, good manners and a willingness to work are the bedrock of nursing. The stuff we witness now, the abuse, casual neglect and callous carelessness is the result of a closed shop mentality, unions and representative bodies so far up themselves that it would take a periscope to retrieve them, the polar opposite of the required qualities being valued, and a general lack of manners in society. It is an outrage and about time we looked at it properly and admitted we have got it badly - very badly - wrong.

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