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Robert Francis himself provided the key when he said that the objective must be to create circumstances in which it is easier, and more palatable, to raise a genuine concern about care quality than not to do so. That requires professional leadership and management structures which celebrate staff who raise concerns, rather than censure them; it requires leaders who embrace 360 degree assessment; it requires regulators who challenge departments and institutions which cannot demonstrate that they have a track record of encouraging and acting on internal concerns.
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