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I am a manager at a senior level, my organisation does support me in raising concerns where we are failing. The wider system is however so risk adverse it fails to embrace this as strength and fails to respond with positive support for improvement.
Until commissioners and regulators can make a proportional and positive response to the identification of failings as part of an approach to supportive improvement we will continue to have a problem and culture of of fear.
The admission of failure and acceptance of a need of improvement needs to be seen as a strength not a failure at commissioner level and above

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