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Of course all employees of the NHS should do their jobs well but it is not necessary to make a religion of it. Nor is it right that all vestiges of critical thinking must be suspended in a desire to be positive. What is important is that when staff see things going wrong but have no confidence in internal procedures they should become anonymous and smart whistle blowers. This is particularly important in measures masquerading as part of the £20bn reductions but are in truth service and staff cuts.