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I don't know for sure why. But cheap un-skilled labour installing crap cheap material = crap builders.
I love the NHS and don't want to criticise it but what I have seen and witnessed recently is its very disorganised.
How do you know it's cheap and unskilled labour? If it is cheap and unskilled where does the fault lie? The employers as they are the ones employing these people and if they are how are they getting away with it?
What have you witnessed?