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Episode 168

Faye

Exeter  |  NHS / Healthcare  |  10 May 2026
The voice you are about to hear belongs to a fictional character. The events do not. They are unfolding across South West today. This is Faye's story. A qualified nurse in Exeter sought mental health training to address ward shortages but encountered barriers at every turn - from Health Education England to NHS England to HM Treasury. Training facilities sat empty while colleagues burned out and patients waited. The resources existed. The decision to connect them did not.

I became a nurse because I wanted to help people heal. Growing up in Tiverton, watching my dad maintain the local school and my mum serve customers with endless patience, I learned that keeping communities running takes dedication. Biology fascinated me - how bodies repair themselves, how minds recover from trauma. When I graduated from University of Plymouth in 2019, I felt ready to make a difference.

I started at Royal Devon University Healthcare NHS Foundation Trust full of hope. But within months, I was watching brilliant colleagues crumble under impossible workloads. We had three mental health nurses covering what should have been six positions. People were working double shifts, missing breaks, going home exhausted every single day. I'd see patients waiting weeks for assessments, families desperate for help that we couldn't provide fast enough. The need was overwhelming, but so was the determination of everyone trying to meet it.

By 2021, I knew I wanted to specialise in mental health nursing. The wards needed people with proper training, not just good intentions. I contacted Health Education England South West to apply for their mental health nursing programme. The response came quickly: "We'd love to take you on, but our budget allocation has been capped by NHS England and we simply don't have funding for new mental health training places this year."

I understood. Budgets are tight everywhere. I waited and applied again in 2022. Same response, almost word for word. This time I pushed back, asking when positions might open up. They explained that Treasury spending limits meant their allocation was frozen indefinitely. It sounded reasonable. Everyone knows the government has to watch every penny.

I decided to go higher. NHS England manages the overall budget, so I contacted them directly. Their response was polite but firm: "Health Education England manages training budgets, and Treasury spending limits mean we cannot expand provision." Each organisation pointed to the other, and both pointed to the same constraint: there simply wasn't enough money.

In early 2023, I was asked to collect some equipment from the old Wonford House training centre. I'd heard about the place but never been inside. Walking through those corridors was surreal. Room after room of empty desks, simulation labs with dust covers over the equipment, entire wings that felt abandoned. A security guard saw me looking confused and explained: "They used to run mental health courses here, but stopped using half the building when the money dried up."

I started asking around my neighbourhood. Within two streets of my house, I found three qualified mental health nurses who'd been made redundant when their previous trust cut positions. Sarah had fifteen years' experience and was working in a call centre. Mike had specialised in adolescent mental health and was driving for a delivery company. Linda had trained specifically in crisis intervention and was unemployed. All three desperately wanted to get back into nursing but couldn't find positions.

The contradiction hit me like a physical blow. Here were the training facilities, sitting empty. Here were experienced nurses, willing and able to teach. Here were people like me, desperate to learn. And here were wards across the South West crying out for mental health specialists. Yet every organisation told me the same thing: "There is no funding."

I went back to Health Education England South West with this information. I asked them directly: if the building exists, if the qualified instructors exist, if the students exist, what exactly is it that there's no money for? The response was honest in a way that previous answers hadn't been: "You're absolutely right. The training infrastructure exists and we do have access to qualified staff. Treasury constraints prevent us from utilising our full capacity."

That's when I started to understand. The government that prints the pound notes and mints the coins was telling me it couldn't find enough of them to connect willing students with empty classrooms and unemployed teachers. The real question was never about money. It was about whether the people existed - they did. Whether the skills could be taught - they could. Whether the facilities were available - they were.

I used to accept the excuse that "there was no money." I hear it differently now. The government that issues the currency chose not to spend enough of it to fill those training places. Every empty classroom, every qualified instructor sitting at home, every patient waiting longer than necessary for mental health support - these weren't inevitable. They were the result of a decision made in Westminster to treat public spending like a household expense rather than as the tool that connects resources to needs.

The limit was never the money. The limit was the willingness to spend it into the places and people who needed it. HM Treasury decided that keeping numbers on a spreadsheet low mattered more than getting mental health nurses onto wards where colleagues were burning out and patients were suffering.

I'm still at Royal Devon, still watching the same understaffing crisis unfold every day. But I understand now that what I experienced wasn't just bad luck or bureaucratic incompetence. It was a series of political choices made by people who had alternatives. The alternative was to use those empty training facilities, employ those qualified instructors, and train the nurses that every ward in the South West desperately needs.

The resources existed. The people existed. The decision not to connect them wasn't about economics. It was about ideology - the idea that government spending is inherently wasteful rather than the mechanism by which a society organises itself to meet its needs.

My story isn't unique to Exeter or to nursing. It's the story of every constituency where needs and resources exist side by side while someone in Westminster insists the cupboard is bare. The cupboard isn't bare. The key holders simply choose not to open it.

7th decile
Deprivation decile (1 = most deprived) among 543 English constituencies
low
Documented funding gap severity
What just happened

Fake Experts

What Faye experienced has a name.

Using unqualified or misleading sources to manufacture doubt about what the data clearly shows.

What Faye experienced has a name: Fake Experts. This technique relies on citing economists or commentators who treat government budgets like household budgets, repeating the comparison as though saying it makes it true. We see this pattern throughout history. Tobacco companies funded researchers who questioned the link between smoking and cancer, presenting industry-friendly conclusions as scientific consensus. Similarly, pharmaceutical companies have funded studies that downplay the addictive potential of opioids, creating an illusion of expert agreement.

In Faye's case, every institution cited the same constraint: Treasury spending limits. But when challenged, officials admitted the training facilities existed, qualified instructors were available, and students were ready to learn. The phrase "economists say we cannot spend more on health without causing inflation" epitomises fake expertise. Which economists? The profession is divided. Many macroeconomists argue the binding constraint is real capacity, not currency. "Economists say" without naming them is an appeal to unnamed authority.

The UK government issues its own currency. It does not need to find pounds before it spends them. The real constraint is resources: people, skills, materials, time. In Exeter, those resources were sitting idle - empty training rooms, unemployed mental health nurses, unfilled student places. The resources existed. The people existed. The decision not to connect them was political, not financial.
Reality check
"Economists say we cannot spend more on health without causing inflation."
Which economists? The profession is divided. Many macroeconomists argue the binding constraint is real capacity, not currency. 'Economists say' without naming them is an appeal to unnamed authority.

Sources

Office for National Statistics
English Indices of Deprivation — gov.uk
NOMIS Labour Market Statistics
Official labour market data — nomisweb.co.uk
Charity Commission
Register of Charities — charitycommission.gov.uk
360Giving
GrantNav grants database — threesixtygiving.org
Disclosure Faye is a fictional character. Their situation is drawn entirely from official statistics. The institutions named in this episode are real. The people are not. Every character in the Blocked Britain series is fictional. Every situation they describe is statistically accurate. Data sources: ONS deprivation data, NOMIS labour market statistics, Charity Commission data, 360Giving grants data. Blocked Britain has no political affiliation and no named authors. It is funded by no organisation.
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