It has moved its headquarters away from Paris to London, necessitating a large number of job cuts in the French capital and a consequent enlargement of staff in its London hub.
This constitutes a large volume of paperwork, with duplicated information, and a consequent burden on staff workload.
The consequent shortage of staff has increased workloads and contributed towards de-motivation, while also greatly affecting the delivery of services in the affected countries [ 4], as well as health system development [ 5].
In an non-experimental clinical setting, Schwendimann et al., conducting an observational study to investigate the effect of an interdisciplinary falls prevention program, failed to show a substantial decrease in either frequency of falls or consequent injuries, citing low staff compliance as a probable cause [ 14].
As timing and severity of influenza changes annually, delays in information reaching healthcare settings could result in a lack of readiness, especially related to hospital workforce staffing, with consequent risks of compromising patient safety and increased mortality [ 4, 5].
However, if PIC governments deepen engagement with Cuba and opt to train more medical graduates there, an option which is cheaper for both PIC governments and their students, the initiative can affect enrolment in the regional medical schools with consequent implications for their staffing and funding.
This requires consequent self-reflexion from all staff members of all levels and a culture in which outcomes of this scrutiny are really seen and accepted as an asset and a learning chance – whatever these results might be.
The sole negative consequence of providing preoperative PFMT, as identified by public sector providers, was the burden that this may place on already 'stretched' staff resources, and consequent impacts on other services, e.g. an increase in waiting lists, an inability to meet key performance indicators for patient waiting times.
"We were experiencing a drop in students and a consequent drop in faculty members.
Simultaneous processing often requires additional anaesthetic staffing and the consequent increased costs associated.
