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4. Employee relationships
I've often come across problems in relationships with outsourced staff, although others may not see this point as an issue. In-house IT staff know one another and know how to interact with users.
With outsourced IT, employees may not even get the same engineer every time, which can prevent relationships forming in the way they might do with your own tech team. Of course, you can build relationships with outside staff, but I have seen issues — even, in one case, an engineer being banned from working with a certain client.