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Letters When managers rule

We need aggregated data on bullying in the NHS

BMJ 2013; 346 doi: (Published 15 January 2013) Cite this as: BMJ 2013;346:f209
  1. David Michael Hands, visiting professor in health policy and management1
  1. 1University of Glamorgan, Pontypridd CF37 1DL, UK
  1. davidmhands{at}

Jarman rightly highlights concerns about systemic bullying in the NHS in England.1 His references to independent US evidence, corroborating UK experience,2 3 in the context of the Mid-Staffordshire Inquiry, are particularly important. Having given evidence to that inquiry,4 I believe that bullying, often associated with victimisation of whistleblowers, is widespread and its impact underestimated.

The reasons are complex and multifactorial …

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