Thank you MissAdventure, that cannot have been an easy post.
I spent a working lifetime as a nurse, most of it as a senior practitioner. I am married to someone who worked at a senior clinical level in the NHS as well.
We both reflected carefully on 'could have done better', but knew that a time might come when everything went wrong, despite our best efforts. As I type this, I feel the old anxiety creeping into me, and can recall agonisingly some of the moments when the system and I fell short. Never this bad - never even enough to warrant an investigation or complaint, but as someone has bravely said 'there but for the grace of God...'
And the people who tell us to 'work smarter' don't get held to account. The ones who made me most angry were those administrators and managers who would tell us how we should organise our work to be more efficient; but when it came to themselves and their families, they wanted old-fashioned hand-holding by the person they had come to trust, not 'smart working'.