Over the past week, Northern Ireland has experienced previously unknown levels of strike and work to rule action by thousands of health and social care employees.
Worse is to come. On December 18 a day of strike action across the province is planned.
Already thousands of patients have had appointments, diagnostic tests and routine surgery postponed.
Chief Executives are warning about patient safety.
There is very little Christmas cheer in our health service this year.
Recrimination is thick in the air. Staff organisations saying enough is enough in respect of pay. Management claiming they can't make the offer to staff they want without extra resources and political direction. Politicians, not in Stormont and seemingly powerless, apparently able only to comment from the sidelines. The Secretary of State indicating health is a devolved matter and not intervening.
What a sorry state.
So it is left to those who are at the sharp edge of all this, the patients, to grin and bear it, living with their worry, concern and pain.
What does all this tell us?
It's quite clear we are stumbling inexorably towards a full scale crisis.
The picket line at Antrim Area hospital as UNISON members across the health and social services system take industrial action.
They are all committed to depoliticising health, and have a shared and agreed reform agenda.
Surely creating an advisory or executive board of party spokespersons, to work alongside the Department of Health, does not interfere with the talks about devolution.
Ask those working in the service to step back from the abyss.
Take time out for the six to eight weeks for a cooling off/negotiating period. This is a big ask but it's easy to stumble into the type of conflict we appear to have entered into, and often difficult to find a way out.
Everyone should be very wary of where it leads to and the untold personal damage that will inevitably follow.
The health and social care system in Northern Ireland is a fantastic institution with caring, committed employees.
Right now, whatever you think about the rights and wrongs of how it got to this place, without some serious intervention the end result is that the politicians and our healthcare system will be complicit in making it a truly miserable time for patients and their families, and as a society we will all be diminished as a result.
John Compton is the former chief executive of Northern Ireland's Health and Social Care Board
Please log in or register with belfasttelegraph.co.uk for free access to this article.