Yesterday the F1 called me sir - but this is very unusual. I had a boss (Dr Rake) who insisted that I called him Mark. But I never did. I wasn't comfortable doing that. Juniors do put me right but they rightly know that the final decision is mine.https://twitter.com/Telegraph/status/967287723106201600 …
Hierarchy is absolutely essential. Blurring lines has not done the midwifery or obstetricians any good and leads to needless miscommunication and risk taking. Line of command must be lean and sacrosanct
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The military know that clear chains of command are vital. But we don't want the Light Brigade.
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Only way you can get everyone taking responsibility in the end
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