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Anonymous 4:28PM. You are right, but how long have you been in the NHS, and at what level? Anyone in the NHS in acute Trusts for any length of time will realise that clinical teams often have very little say on where priorities may lie. As a former clinical director, I vividly remember asking Estates to come and look at the orthopaedic ward [I.e. where joint replacements were nursed] where there were stains running down the walls, [just below the handwash dispensers] ceiling tiles groaning with black, hanging dust, disintegrating curtains and the chairs at the nurses' station were so threadbare the foam rubber was billowing out. 2 suits arrived and told me they would be happy to quote for refurbishment, but where was I going to find the money out of 'the orthopaedic budget'? Quaint. As if I controlled the budget! Needless to say, by the time I resigned and left the Trust 2 years later, nothing had been done.