get more staff in and indicate that staff should work extra shifts. it put in place a governance structure so leaders can make decisions and if they need to prioritise particular services, they can do that really quickly. in a sense, it is an indication of pressure, but it is also an indication that a trust is well and controlled the situation and it is going to do the right things. in terms of your question in terms of what it means the quality of care, it means that quality of care is under increasing pressure. we are getting increasing reports of trusts who are having to delay nonessential and lower priority elective surgery cases. but the degree of pressure and the trust's ability to cope with it will vary from trusts to trust.— ability to cope with it will vary from trusts to trust. let's talk about the _ from trusts to trust. let's talk about the issue _ from trusts to trust. let's talk about the issue of _ from trusts to trust. let's talk about the issue of social - from trusts to trust. let's talk about the issue of social and i about the issue of social and community care. he talk about hospitals being able to get other staff, when we talk about social