From the beginning, the low response rate to the questionnaire and the difficulties encountered in staffing focus groups echoed the difficulty of involving end-users in the CIS project.
"The primary difficulty in staff planning at this time was the fact that neither the field nor Headquarters possessed detailed information on military figures in Iran.
Such difficulties were compounded by the delays in staffing regional and sub-regional offices adequately.
Health care systems face numerous difficulties in adequately staffing rural, remote areas.
"Because of the difficulty sometimes in staffing," Mr. O'Connor said, "we're seeing volunteer agencies that have come together and work with each other.
Contributory factors highlighted in the Inquiry report included styles of management based on bullying and harassment, the priority given by the board to meeting externally imposed waiting times targets, low staff morale, ongoing financial difficulties, reduction in staffing, a lack of openness about the hospital's business, and the acceptance of poor professional standards and practice [ 3, 4].
The show is packed with references tailor-made for the locals, from Brocato's lemon ices to the bread pudding at Lil Dizzy's, from the difficulty of staffing a restaurant in the months after the hurricane to the abomination of imported crawfish.
Richard Murray, director of policy at the King's Fund, said GP practices and NHS community services trusts, which deliver care outside hospitals, were also reporting difficulty in finding staff as a key concern.
Among subject teachers, the biggest problem was recruiting maths teachers – 40 per cent of schools had struggled to make an appointment followed by English, in which 32 per cent had experienced difficulty in finding staff.
