Pros
Not a single thing to write
Cons
I worked for Practice Plus Group within their macular service as an AMD specialist, and it was one of the most distressing experiences of my professional career. There was a complete lack of meaningful support for clinical staff. I was expected to run autonomous clinics in unfamiliar locations, often travelling 2–3 hours, with minimal preparation and no on-site clinical support. This was not part of my original contract, yet I felt pressured into doing it. When support was needed, it was limited to messaging a consultant remotely, which is not a safe or appropriate substitute for proper clinical supervision. The environment created significant pressure, and as a result, mistakes became more likely — not because of lack of competence, but because of unsafe systems and expectations. Rather than being supported through this, I experienced a culture of blame. After managing a patient with a recognised complication of intravitreal injections, I was made to feel personally responsible in a way that was deeply undermining and distressing. Leadership at the time did not foster a culture of safety, learning, or psychological support. Instead, it felt punitive and unsupportive, which ultimately pushed me out of the organisation. This experience had a profound and lasting impact on my wellbeing. It affected my confidence to the extent that I have not returned to clinical nursing practice since.