It all began with a positive, training, communication, team working then just before covid hit, change began roles were changed, redundancies made. A new direction towards fertility treatments, then covid came and we switched to tele med treatments. At that time it was great for women who couldn’t get out, we still did scans as needed, it felt like we still cared. There was change at the top, and then I felt a big change to how we cared, it all came down to money, I understand that BPAS is a business first and foremost and you have to make profit. When it starts to penny pinch over equipment standards, and the amount of staff needed in clinic to deal with sometimes distressed women then it’s failing. There were people coming into the business who were unsupportive and got away with just not being at work, because they had management over them who did the same. The sad part is this was highlighted and nothing was done. Care for anyone especially women who find themselves having to make one of the worst decisions of their lives, should never be about how much profit is made. Training went down to via computer only, which had to be done during clinic time, tell me who can concentrate on training when you have patients coming in and out, again a cost saving initiative. I was blessed with my close colleagues we pulled together, always through some awful stressful times when managers had put a list on that far outweighed the number of clinical staff on duty. Would I go back? For my colleagues in my unit yes, for the women yes definitely but not for the management and directors that they have in post. Tone deaf, doesn’t come near it