As long ago as 1959 the Platt Committee recommended that all those caring for children in hospital should have a child nursing qualification. I doubt that in 1993 there is a children's hospital (or an inappropriately placed children's ward in an adult one) where all staff have such a qualification. There will even be those, throughout the country, and certainly in Scotland, where no one is so certified.
To employ underqualified or non-qualified staff certainly saves money. The losers are the patients. At Grantham and Kesteven Hospital, their loss was total.
I am never surprised at the mentality and politics of health board members. I am always puzzled, however, as to why the medical and nursing professional bodies and trades unions have tolerated it.