Bankhurst - your sister is correct, and why on earth you are contemplating not speaking to her beats me. Public service organisations should be flat and responsive to the public they are meant to serve, whereas the NHS is tall (meaning many layers of management) and bureaucratic and that means that different layers of management can hide behind others - quite disgraceful really - always knocking off for breaks and lunch, ensuring that they're on the right side of flexitime, etc., - the medics and nurses however, who do the 'real' work - yes the work the NHS was intended to deliver, struggle to take a break and suffer from moral injury as the vocation they innately feel they are following is thwarted at every corner by management (take the debacle with PPE for instance - management make a blunder and frontline staff face a life and death situation). Bankhurst you need a more open mind - maybe a sit down with your sister and a willing ear might help.