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"But at the same time, we should not lose sight of the fact that the vast majority of senior doctors are so far untouched by such initiatives. The real challenge is how we get them on board, and quickly."

You can't. The system, GMC, litigation, vexatious complaints, successive governments plus the media have so effectively made senior doctors lives miserable that all they can think of is retirement. The only senior doctors who might take up the challenge are quislings whose motives fly directly in the face of the qualities outlined above. Unless ministers are willing to eat humble pie and grovel, the senior doctors you really need will not play ball. Ministers do not apologise let aloone admit error or grovel, so things will stay exactly as they are.

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