Letters Mid Staffs inquiry

Boardroom ethics and the syndrome of senior silence

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f1358 (Published 05 March 2013) Cite this as: BMJ 2013;346:f1358
  1. John J Turner, consultant physician and honorary lecturer1
  1. 1University Hospital Aintree and Liverpool School of Medicine, Liverpool L9 7AL, UK
  1. jjturner2{at}btinternet.com

Whistleblowing is self evident failure, driven by the collapse of healthier communications, a product of an NHS climate disappointingly suspicious of open rigorous clinical debate.1 This climate is part of an insecure self protective management culture that represses alternative opinion.2 The phenomenon of senior silence, so puzzling to the wider …

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