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Well, first of all managers could stop yelling at their staff. They could stop abusing their good will, and co-manage with them. Many highly skilled and senior staff are leaving, most with sad hearts. Can you think of a more absurd strategy than burning out your best nurses and doctors ? Only someone wedded to extreme short-termism would do that. Frankly, much of what passes for NHS management is gross incompetence. And even then they won't listen. Sad, sad business. Let's hope the Report tomorrow is the beginning of the end of the nightmare