I was pleased to read Andrew Castle's article on listening to ideas as I know about the culture at Toyota from my current masters course in public administration.

I was pleased to read Andrew Castle'.article on listening to ideas.as I know about the culture at Toyota from my current masters course in public administration.

It is my greatest wish that the NHS would value its employees, but since.1982 when I started working for the service I have seen employees treated increasingly badly due to financial pressures. As long as the human resources.t
ick boxes are filled and backs covered, the 'spirit' of valuing people does not exist.

Staff are suffering this lack of care by their employers for many reasons, mostly all the different.changes pushed through the accounting systems; payment by results; private finance initiatives that are proving unaffordable in some areas; and other narrow, target-driven policies.

Staff in my hospital are at an all-time low. They feel disempowered, under-valued and colleagues nearing retirement cannot wait to go. This is such as shame. I love the NHS but I'm saddened and disheartened.

Our chief executive recently asked for ideas from staff. I can't tell you how many replies he got but people said they would not bother because they are not listened to and it is the finance people who call the shots now; nothing else matters, not even quality of care.

I really agree with Mr Castle and I endeavour let people know that they are what keeps the organisation going.

Pat Ramsell RN