One of the problems with trying to effect change in the NHS, captured beautifully:pic.twitter.com/GZVcTreJ3o
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With a lot of research projects, there is no way of knowing whether they had an impact or not but most of my work was around recruitment and retention of doctors and I only see things getting worse but of course there are many reasons for that.
Yes, that's a multi-faceted problem. Not easy to measure the impact of your work without a control group, protected from all the other influences. Impossible to find, I'd suggest.
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