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Doc Holiday <[log in to unmask]>typed > That has the sound of a negative opinion... Since I have retired and have no loyalties to maintain, I would say: Individual attitudes and aptitudes vary enormously. Some ENPs are pleasant, brisk, helpful and therefore good value for money, while some are S-L-O-W, obstructive and unhelpful. I saw some attend to <one minor injury patient per hour on average, day after day so a couple of dozen patiets constituted a week's work [1] These were experienced 'H' Grade people, [1] 3 x 12 hour shifts, with long breaks and 'flagging' towards the end of long shifts. -- Helen D. Vecht: [log in to unmask] Edgware.