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John, the path to a broken career, bullying, being forced to leave a job and general poor behaviour from HR is littered with people who dared to raise their head above the parapet, engage in constructive critical debate, challenge the perceived wisdoms, attempt to reform the aggressive if not toxic culture of heavy handedness so pervasive in the NHS.... is why we prefer to remain anonymous. It is simply not worth our jobs and health/ wellbeing plus that of our families to say what we really think in public.