I think this business comes down to whether the skills are in demand and whether the CEO is willing to pay for them, not whether the CEO knows you exist but I take your point KM. A job profile for MTO's doing our line of work, assessed nationally, would have put everyone doing the same job on the same footing but by evaluating roles locally we all know that there will be losers because of penny-pinching in many NHS Trusts. Looking on the bright-side there will be winners, of course. smile