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I am very, very non sexist.

After 30 years comercial career and 10 years very close NHS working, I won't even mention my opinions on general NHS management.

However one common factor across a lot of Trusts is that the most politically asperational nurses tend to progress to "Director of Nursing".

Because they a politically aspirational they give the worst possible leadership to their reportees.

I can't see the present pressure for culture change succeeding without traumatic management (clinical and administrative) changes.

Doesn't matter whether you're male of female.

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