"Lack of management, conflicts of interest, free..."

There have been some worrying things at the hospital recently and instances of conflicts of interest that should not occur within the NHS setting. The incidents suggest a lack of management oversight and proper auditing.

One doctor suggested going to her 'private' practice during the NHS consultation. This is so wrong and inappropriate.

One practitioner, during an appointment, suggested buying her book. The book isn't in the library because it would be seen as a conflict of interest. So how can asking a patient

personally to buy a book be ok. It's not as concerning as above but it is still inappropriate, especially as a refusal to buy can have consequences.

These incidents undermine the therapeutic encounter by putting the patient in an awkward position.

The Pharmacy 'manager' was condescending and belittling and insisted a book entirely in English was actually Latin just to prevent me from looking at it. Her assumption being I didn't know Latin.

I purchased books from the library from a friendly lady. She asked if I wanted a receipt and I said no. Later I thought it odd to have been asked because its usually just given. I thus wondered if my cash would be contributing to the hospital or an individual.

It is impossible to find out about the management structure of the hospital. The only names provided are of PALS and an office manager. They field the flack but don't have the oversight or expertise.

Lack of professional (or any) management is why the issues above happen and will likely get worse. It is a shame because the hospital has potential. The list of directors is long but they are invisible. It seems they like their fancy titles but not the accompanying responsibilities.