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Umesh I gave a talk today to 20 managers, osme clinical some not.

I was shocked at negative comments about NHS, how demoralised these wonderful staff were, their comments about how NHS meant only for mediocre, many of the clinicans appear not to care for patient safety, none listens in our Trust about patient safety, their comments about the Trust conultants and other clinical leaders was simply shocking. Not even one had any good things to say about any of the consultants! Can NHS really improve? Do we have true leaders in our NHS? Why such an intelligent, hard working group of senior managers are so demoralised? Is anyone in NHS Leadership academy, FMLM, College, BMA, DOH or even NHS Employers are listening to this tragic status of our NHS? I am really saddened after 25 years working in the NHS.

The answer is to stop the blaming managers or doctors or policy makers or politicians and to do what we say about patients safety and care being paramount and for clinical and non- clinical leaders to work together to make this happen.