Thanks - grammar and spelling now amended.

Unfortunately I believe the NHS staffing perspective is a huge issue. Of course not yet so apparent (nor explored as to the potential issues) but I would rather highlight this potential minefield now and let people decide whether it is a point they would use in a letter or not. As I have suggested take all, take part or even just take an idea from the ideas presented in your own letter. But don't sit around and wait for the results before you act. This pays into the hands of the PMI's and it becomes much more difficult to change things once they have happened.