Empire building - four departments all doing similar and mutually comprehensible things, not only not communicating but actively playing politics against each other - not good for the business let alone the customer! On a health related note : stroke unit not having a clue about diabetes, especially given adult onset diabetes (now also child onset thanks to lifestyle) being a multiplying factor to the risk of having a stroke. & having to tell umpteen GPs that the medication for one health complaint (now banned due to coronary side effects) is contraindicated for anyone at risk of using adrenaline (allergy). Sorts the wheat from the chaff, though!