- Buildings closing (scheduled to be demolished quickly after);
- Alternatively buildings given to a GP practice; even though they are a private concern;
- Primary patients directed away without treatment ("Go to your GP or another clinic such as sexual health");
- Any vacant position arbitrarily removed, regardless of the reason for the vacancy.
- Senior nurses bullied and excluded from management meetings to encourage them to leave;
- Senior nurses made redundant;
- Junior nurses told their jobs are being regraded (downwards) with no real consultation;
- Overnight working in A&E (not primary care) imposed regardless of contract;
- Nurses diverted to streaming duties in A&E;
- Nurses joining a union for the first time ever;
- Specialist computer systems for patient consultation records abandoned and no further maintenance paid.
- Services like Emergency Contraception cancelled - "go to another clinic" even though it is closed and the patient would need an appointment.
- Senior administrators making arbitrary clinical decisions
- Budgets diverted away to other purposes.
I've now seen this happen in four different locations over the past couple of years. It is a sickening waste of the public money invested in the creating WIC infrastructure and in the cost of building and training a skilled team of nurses. The public are left with no improvement of services as a result and the workload (queues) in the local A&E increase as a consequence.
One point never successfully handled under if retaining the patient records. They are supposed to be maintained safely and accessible for at least 25 years. This is an enormous cost risk, with the nurses dispersed there is no one able to dispute a legal medical claim. It is another consequence of the Lansley blind bull in a china shop leadership.
This happening in many places in the UK

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