Intended for healthcare professionals

Rapid response to:

Editorials Christmas 2012: Editorial

When managers rule

BMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e8239 (Published 19 December 2012) Cite this as: BMJ 2012;345:e8239

Rapid Response:

Re: When managers rule

Patients First is a campaign group raising awareness about negative strategies often used against health professionals who raise concerns. Staff can be silenced via contracts of employment, often by bullying strategies,including via exclusion, suspension, dismissal or gagging clauses. Time and time again we hear the same stories. These abuses of power are widespread and symptomatic of what Brian Jarman describes in his article. When the health service lost its focus by putting patient safety and quality below reputation management or financial control then the corrosion began. There are solutions that lie within strong leadership, support from the centre and acccountability for those who victimise and abuse their power. This state of affairs cannot continue as it is a complete waste of talent and skill to have highly trained and committed staff stressed on leave and leaving the NHS. The fear that many of us have felt who have become whistleblowers is immense and should not be an acceptable part of our culture in a civilised society. We are all committed within Patients First to ending this climate of blame and fear, by trying to show leadership and empower others to speak up.

Competing interests: No competing interests

05 January 2013
holt kim
Paediatrician
Patients First
London