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Many engineering staff in the Health Service, from craftsmen to professional engineers, enter from outside the service at varying stages in their careers and from a variety of previous employments. Whilst more is now being done in the way of basic training via a substantial craft apprenticeship scheme and an honours degree studentship scheme, it is likely that substantial outside recruitment will continue for the foreseeable future. The Health Service is not primarily an engineering organisation, engineering staff total only 10 000 out of a total of 800 000 employees and the main training effort is of course in the medical, para medical, and nursing fields. Thus the engineering side of the Health Service contains numbers of staff trained in their basic trade or profession, but lacking knowledge of areas specialised to the Health Service. Because of their diversity of backgrounds and the breadth of knowledge required in the Health Service there are also gaps in more basic knowledge. Also, given the pace of change in some technologies, updating is necessary for all staff.

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