Pros
I cannot think of any pros!
Cons
1) Hard work is not recognised, you are used until you get frustrated and leave 2) Career progression is not based on merit for your hard work, its based on if your face fits in and who your friends are 3) Too many people progressing to higher bands with no clinical or managerial experience 4) Cultural clicks among teams - not enough cultural diversity within the team 5) Poor patient care - Due to the bed pressures, patients are admitted for a few days then are pushed out with poor community support. This leads them to being readmitted back to hospital. 6) Too many band 8's doing the same job and not enough front line staff. Not enough of these band 8's come from clinical nursing backgrounds 7) Bullying and rudeness from managers with a strong blame culture 8) Trust is very biased towards boroughs i.e. there is more preference towards boroughs in inner London such as Westminster, Kensington and Chelsea which are rich and affluent compared to outer London boroughs such as Brent which are poor and deprived 9) The trusts main focus is on creating bed capacity rather than focusing on patient care working in conjunction with the four trust values 10) The trust not being able to retain staff due to poor support from management 11) Poor work/ life balance and not a happy place for staff 12) Managers working from home and spending all their time in meetings when nothing good comes from these meetings 13) Poor communication between front line staff and management 14) Shortage of staff due to high burnout and poor support