The trouble is that we cannot start the operation until we know that there is going to be a bed into which to put the patient after the operation, and this is often not the case. The stream of initiatives and plans and admonitions from the government and management that we must work ever more efficiently feels like a game of musical chairs – the music is constantly being changed, indeed with the latest round of reforms the government has even changed the orchestra – but there are always more patients than beds and so I spend many hours lying on a sofa, staring gloomily at the clouds, watching
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