The other problem is that targets keep moving. Those of us in employment are now given job plans and personal performance reviews that are wrapped up in the language of ‘wanting to be helpful’ but, in fact, ensure that we stay on an upward curve. So, if you meet your targets this year, you can be sure that they’ll be increased next year. Some businesses and government departments apparently believe in the concept of constant change. The idea here is that you must not let systems settle down and become organized because then people become self-satisfied and inefficient. So here in the NHS, we
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