Pay and respect
Pay and respec your IT staff more that would also help. When you get a director stand in front of several engineers and say "My plan is to get rid of all band 5 engineers and replace them with box monkeys. You don't fix anything, you just replace the PC". The room was full of band 5 engineers and he wasn't aware. When told he didn't care. He later got cancer. Shame he never died from it.
When you have a CTO of an NHS IT department that allows his daughter who happens to work there to bypass helpdesk and SLAs.
When you have NHS management ignore you that it would be cheaper for us to buy a hard drive crusher and destory them ourselves than sending them to this 3rd party that will do it. Then one day said 3rd party sell some of said drives on ebay with patient data on. The trust then getting hit with a record fine by the ICO. Only then do they bring in their own hard drive crusher.
When intergration is bad in trust IT departments so much so that you are 2nd line, they are 3rd line. You have learnt how to set static IPs for printers etc and been doing it for several years but then told "no. I know you had to wait 20mins in a&e for me to be free to set the static IP for the blood printer. But you can't do it yourself. This is my job". Dicks.
When you hire me on as a contractor on what you say is more money than what 2nd line are getting yet I still say my contractor rate is lower than I got elsewhere, then the 2nd line guys/gals must be on shit money (again NHS underfunding IT). You then expect me to do project work at that rate. Don't blame me for then leaving.
The same trust had several 2nd line engineers and a few 3rd line leave when I'd just joined for a short contract. Why? Cause pay was shit and not getting any better.
The list goes on.
Under funding IT and incompetent managers are why the NHS will be hit again in the future.