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Health care changes all the time-yesterday’s heterodoxy can be today’s orthodoxy and tomorrow’s heresy………..

Staff are the key factor in organisational performance.

Staff have to keep existing skills up to date, with adequate experience to maintain competence.

e.g. number of procedures per year per person

At the same time Staff need to learn new skills.

Education is for life and educating people is “like lighting a fire”, and a fire needs to have fuel to remain alight giving out heat and warmth!