Oh great. So in essence: -a bunch of bureaucrats in a meeting came up with the strapline "Agenda for Change" and then hurried along to the buffet. - a state of confusion settled in as the people working under those bureaucrats tried to decide what was meant. - frontline staff ended up feeling even MORE undervalued than they already did. Some will leave. Batsgirl's Predictions: - the remaining frontline staff have an increased workload which adds even more stress to the drop in morale. - waiting lists for OTs, physiotherapists etc get even longer than they already are. - bureaucrats read about how Joe Public is affected by this and another meeting will be called, probably to apportion blame to the frontline staff and come up with another, more dynamic strapline.