This is what my DD is experiencing in the NHS now.....
.... the emphasis is on productivity i.e patient turn-over, she is spending a great deal of her clinical time justifying why she is doing X and not Y, this generally means less patient time and faster discharge of patients... these are patients already at home but needing additional support, the end result is they end up back in Hospital and or needed more on-going support.
The amount of TOIL she does is off the scale, so much so she ends up losing it, as they simply cannot let staff use it, nor is there the budget to pay over time.
Her Band 7 is dropping down to a B6, as she is pissed off having to upset staff implementing these changes.
All this is totally different to her Australian exp and worse than when she left the NHS a year or so ago.
A positive is she gets paid a lot more now, then again, a lot is taken from her in the form of loan repayments.