All of your points are factual, but can I add some construcive criticism? For a variety of historical and current (e.g. legacies) reasons, the charities are wealthy and want to spend money on their charitable objective, which is the Cottage. In my view, they - in collusion with the local GPs until a few years ago (one of whom was Sideshow Bob) - they have started to see it as their hospital to do with as they see fit. Money has been thrown at the place and all sorts of kit and caboodle has been bought. As far as I know, the problem is that there has never been a strategic plan for the unit, and so everything in its links with Noble's is completely disjointed. To my mind, that is a recipe for waste, and if a health service wastes money, those funds cannot be spent on care.
I should add that one oif the charities has for many years been the personal fiefdom of one Leonard Singer. Remember him? Enough said...