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In the thirty years working in the NHS I have never felt so anxious about the future of the health service. I love my job, I always have loved working for the NHS. I am known as one of the hardest working commissioners in the PCT and I feel very 'hard done to'. I find it heart breaking to stand and watch all I have worked for be abandoned as all my team request redundancy or are to finished as they are on fixed term contracts.

Some colleagues are eagerly hoping to collect handsome redundancies whilst lining up other employment opportunities. I myself await the HR framework to assess the risks /opportunities of staying or leaving. The pace of change is too fast and too risky. I predict a massive drain of talent from PCTs unless the pace of change starts to managed more competently. I feel as I am on the bridge of a very good ship sinking fast. This cannot be good for patients. Change is very much required in the NHS but it needs to be managed intelligently.