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If only the Board, leaders and managers treat both staff and patients with kindness, compassion, humanity dignity respect and do the right thing for both patients and staff then NHS would be much better.

Fundamental problem is NHS is good culture and leadership is patchy. Bullying, victimisation, discrimination, club culture, Old Boys' network and tolerating poor practice and poor behaviours are too common. Sadly this is due to lack of true leaders not simply at the level of the Board but also underneath the Board. Good managers and good leaders everywhere who promote good culture and create good energy is what we need.

Even good doctors and nurses become bad or indifferent in a bad culture. Bad doctors become good or leave or removed in a good system. NHS must be for the patients, by the patients and with the patients and we need good leaders who always put patients at the heart of everything they do and anything else must be secondary. Recently met nearly 300 BME doctors in 5 different events who told me they are absolutely scared to talk about patient safety! This is simply shocking and two of these doctors come from 14 Keogh Trusts!

How do we protect patients if there is fear amongst consultants and GPs? If consultants feel like this then what hopes we have juniors raising concerns about safety?

NHS must appointe leaders for the right reasons and they should be appointed only on merit and not because of race, religion, club or gender.