"What one change would you make to the #NHS participation system?" is the icebreaker question. What do you think, Twitter? #NHScitizen
@demsoc There is still something fundamentally blocking the culture change needed. I suspect it is fear of loss of power/status. #NHSCitizen
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@allyc375 that's what kills it in local government as well, I find. -
@demsoc Sands were shifting, was in a very back biting, bullying environment. No way was I going to give away any of my hard won position. -
@allyc375 I can understand that. Sounds grim. -
@demsoc Grim but absolutely typical of public services.
End of conversation
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