"To inefficient to care or use initiative to care"
Elderly lady (80) suffering with Parkinson's and Heart issues. Lady has a home phone number blocking unidentified incoming calls. Hospital calls to cancel appointment, but instead of using their initiative or more basically common sense to find a phone or mobile that can make the call they send a letter that is yet to arrive at the patients address.
Formal complaint to GMC and RCS about ineffective and negligent handing of this patients administration.
They don't care that much.