NHS England Lesson 1: It’s a lonely place

There is no working model for NHS England, processes seem arbitrary and inconsistent. Decision makers wanting to change things need to be courageous, you can expect all of your decisions to be second guessed and reexamined as the environment changes. You will get some support but it is often non-committal and vague. Lesson 1 – if you want to work in the upper echelons of the NHS make sure you’re mentally and physically resilient.

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