political culture decision nursing knowing means morale nurse party DOOM staff years Yep Woweee care agree poor reality safe NHS made making create active collective conversation drives definition face everytime giving incentive include things societal speak spread staffing stand paeds smaller thanks workplaces totality Hunts idea glad hears higher extra forecasts established CQC decisions celebrity agenda agents ages cleared Absolutely achieve appears bit key issue impact impedes integrity leadership local lol management nurses role sectorial sees silo research profession professional pool posting potential passion piece Omg oops opinion point pretty productivity positives pushing quality rarely ratios response Retaining reasons recommend simple show rubbish safety nightmare maker mortality moved mandated Matrons measuring MINUTE missed lonely lots love LEFT levels laptops Interesting Investment important jungle Bloody board brings button California application aptly attitude bad bedside big actor admin America analysis ancillary answer climate challenging changing children dear decide community connectivity drive despair