@DrHenryMarsh
I was thinking exactly the same. I really can't recognise the organisation I joined as a houseman! Not saying everything was roses back then but if my bosses had a concern this grave, there would be no 'referring to senior management'. Absolutely insane
If you asked me about greatest change over the 40 years I worked in the NHS I would say the loss of consultant autonomy. The horrifying story of the baby-murders at Chester and the management’s refusal to listen to the doctors is a ghastly culmination of this process.