So much grievance is a local level though. Not all trusts are striking, and not all trusts are in a terrible state. You only have to look at comparison tables. So some trusts are obviously run better than others, we have known that for some time. They manage their budgets better, and get better results with what they have. Some of that is demographics, age and poverty, but much is not.
Where we are now, this minute, is because we have failed to have a joined up system between NHS and social care. Those trusts who are trialling shared budgets are finding results are improving. Also, the NHS shut down pretty much entirely during Covid, no other healthcare system in the world did that. Again, bad decisions, bad organisation.
On staffing, the entire world has a nursing shortage. Every major economy is fighting for a small pool of staff. I think we have to accept that pay has to go up to attract and retain staff, but also, someone, somewhere needs to get an effing grip. The money is now there, but the performance hasn't improved. It is not even up to where it was pre-Covid let alone increasing capacity.