This job is incredibly demanding. There is zero separation of work and personal time unless you are on a scheduled vacation and have permission to turn your phone off. Otherwise, even on sick days, you are required to promptly respond to phone calls, texts, and emails.
The upper management are power hungry and the worst micro-managers I have ever laid eyes on. Micro-managing, of course, is always required to some extent, but these people have their hands in every single step of every single process whether it should involve their position or not.
The company as a whole does not care about it's employees. No raises unless you are a well liked by upper management or can find opportunity for promotion (which is rare and only happens if upper management likes you). Cost of living raises only go to salaried employees, and salary requires a master's degree at least.
Speaking to your relationships with upper management, they all stick together and will lie for each other and throw people under the bus to save themselves. They are deplorable managers. Once they have decided that they don't like you, they will target you and find any and every little thing they possibly can to eventually fire you.
The position I held was required to provide so many reports that they do not have time to manage their staff or clients they way upper management wants them managed (know where they are, who they are with, and what they are doing at all times). You are responsible for 100+ clients and are to be able to give a detailed report on their progress/lack thereof on a moment's notice...and that's the easy part of the job. The expectation is unrealistic and sets you up for failure.
NHS is a miserable company to work for at any level.