Nurses should not expect to suffer at the hands of Neanderthal management. Only a political campaign aimed at clearing out anachronistic and possibly psychopathic management will rid the service of this bureaucratic cancer. Nurses and their representatives need to mobilise MPs in all constituencies to lend their weight to a massive purge. And massive it will be: all those culpable high level managers and directors who have allowed this situation to develop will have recruited in their own image.
The key point in all of this is the lack of political will to cut through all the bureaucratic bluster, denial and defence of the indefensible. David Cameron can put a stop to gagging orders, bullying and the rest by rounding up all the culpable high profile figures and sacking them or, better, prosecuting them for causing deaths by negligence. If necessary, roll out primary legislation to criminalise management behaviour likely to cause death, suffering and distress. This will send out a very powerful message to anyone in the NHS presently working their way up the management greasy pole, or contemplating joining, that the public and colleagues will not tolerate them, their indifference,or their psychopath tendencies.