I last worked in the NHS up until 1999 - and a lot longer than you and at a much senior level. Back then, we recruited from the Philippines, so you cannot use that as if it's something new - it isn't. It is common for many lower positions in the NHS to constantly moan about managers without understanding the facts because they are frustrated. It isn't perfect, but most in the world would give their right arm to have a similar free service. You think private would be better? Anyway, this is totally off-topic, so let's agree to disagree. One of the best things about the UK, and there aren't many, is the NHS.