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This happened in the US. The quality dropped, the prices skyrocketed, and the staff stopped caring. They hid fees in prescriptions- $17 for 30 pills and $15 for 4 more because there’s a $12 dispensing fee hidden in every prescription. It took them a year to finally explain it to me. They fired me as a client (after 20+ years) when I questioned them. Find an independent clinic and support them!
Can you still do some prn work if you take the desk job? In my opinion, you should work while you can now to earn what you can now, and take the experience while there are opportunities. Later, you can get the desk job, but for more money, since you’re more experienced. Also, there are opportunities in research/real world evidence/device manufacturers/ software companies outside the healthcare systems for experienced clinicians like yourself (even fully remote ones).
Maybe this current role isn’t perfect for you, but it started you wondering, and that’s good.