We have fewer staff than needed, working together across health and social care, to deliver the quality and quantity of care that we want to provide and that you need. Because our services are split across four hospital sites, our doctors cover more shifts or rotas than at some other NHS organisations (for example they may need to cover weekend shifts more often than in some places). This means we are not seen as an attractive place to work as people are concerned, they may not get the support they need from working as part of a team and to support their careers. We are working hard to change the way we are seen but difficulties in recruiting staff remain, and we rely too much on expensive agency staff. This leads to an inability to provide the highest quality care – not because of the ability of the individuals in these temporary roles, but due to their unfamiliarity with local guidance, procedures, and other team members. This risks poorer quality of care for you, fragile services that may collapse, and leads to significant financial problems.