Hi Tom I have to stick my head above the parapet and admit to being a Health Service Manager (am also a registered Nurse). Thnaks for appreciating that it's not neccesarily managers to blame for the b****cks you have to deal with to meet targets enforced upon us by the government. I was going to carry on by having a rant about the government/ crazy targets/ running the NHS and its staff into the ground but apparantly I'm meant to have a work life balance so I'm going to put the kids to bed. Love your site and have recommended it to loads of NHS Managers to make sure they keep a grip on the real world