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Having worked in a large acute trust for several years at Senior Mgmnt level and also having worked as NHS management consultant; with a further 15 years in the private sector - I now view the problem as very clear. Trust board membership recruitment is still not based on proven ability & suitability; the DOH needs to put robust recruitment processes in place for directors that are independant of the individual trusts. Giving a 90K job to any Tom, Dick or Sally who is 'safe' will never ever work.

The Project Manager