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I hope that Human Resource Departments procedures will also come under vigorous scrutiny. Managers from my experience appear to rely on "advice" from HR or are frightened to challenge them, on taking disciplinary action. A lack of perspective and common sense leads to unnecessary waste of time and resources that should be directed to issues that really matter.
The harsh Blame Culture that is now so prominent means that clinical staff are under pressure to not highlight things that go wrong so they can be dealt with. If this is not dealt with these recommendations will be toothless.