That was a totally brilliant post. 
I quoted many parts to respond specifically knowing that a majority don’t like that. I have not done this intentionally to upset anyone. It just makes sense to ensure that you know which parts of your post I am responding to.
Yes. Parliament and the so-called people who write ‘guidance’ demonstrate little appreciation that the written law is supposed to serve ‘everybody’. It’s a lesson in life - that ‘you’ [not meaning you of course] don’t have to care when you can do what you like! i.e. when you have the ‘power’. Hence my Power Equation - which you will not find in any journal.
That cracked me up!! 
Because the reality is that the ‘normally’ I have seen over the last 40 years of psychiatry and in legal circles (which remain nameless), is that people at the top don’t do that. What do I mean? I mean that yes they uphold a lot of the rules, but for a significant proportion - even if in a minority of instances - they do not. The way it works in ‘the Kingdom’ is that the authorities expect that if ‘you’re’ so upset by any rule breaking or disproportionate bending then ‘you’ take legal action. But hello - that costs money, time and headaches.
Gosh - that’s very insightful. But as a medical doctor if I said that in public, I’d have to think about the risk of being sent to the GMC, or being blacklisted by Trusts across the land.
Are you reading my mind!! You are perhaps beginning to understand - it’s a big financial machinery - hundreds of billions (sterling). Think - by analogy - of BigPharma; same story. Then look towards all the big BigPharma scandals (GIYF). Joe and Jane public have this idea that big institutions care about individuals - they don’t! What they care most about is their spreadsheets. About two years ago, one of my A&E consultant mates said something that hit me like a ton of bricks “The patient is incidental”. The penny dropped for me. And you might think he was talking about the two ‘jumbo jets’ of people Needless deaths due to long waits in A&E are like TWO plane crashes every week, damning study suggests. Well he was also talking about the suffering of psychiatric patients as he saw it - yes at A&E. Trusts ‘up and down the country’ are well aware of backlogs, waiting lists (for mental and physical health treatments) - and that data ultimately rises to Government. Oops - government - errrh… that’s just the people we ‘elect’ in a ‘free and democratic society’ to take care of us. But ‘some’ of them care about their wardrobes, expenses, second homes, gifts and paid speeches ahead of us.
Lip service is the cheapest form of service. Unbeknownst to many - but well known by legitimate employment agencies - your government is chopping left right and centre the grassroots of staff who are meant to deliver services to people with mental health problems. And - there is no staff to replace those taken out in the ‘efficiency and productivity’ measures.
Your Darzi Report was not just about ‘backs and knees’ it was also about mental health. Who except me reads these things? What people want is a 30-second summary - no depth. Well the depth shows that mental health services will be deeper in a smaller doghouse over the next decade. I’m not singing ‘Things can only bet better’ - sorry. But apparently facing and disclosing reality is known as ‘negativity’ and that’s not allowed in the Kingdom. So - I’m a (lawful) rule-breaker! Those types are not allowed either.
Hence as I move from Trust to Trust - now on average 4 per year - and gaining a perspective that no ‘substantive could’, I see reality better than most. Ooops - apparently such declarations are to be labelled as ‘arrogant’. Well, I encourage patients in my care to request the totality of their health records. Of course most don’t - they’re afraid of something God knows what. But the few who do obtain their records often have unpleasant ‘surprises’. Perhaps that’s what ‘some’ are afraid of - so they just don’t want to know, as it would all be a bit too much.
Some say ‘that’s life’ - I don’t. I never accept the status quo. Hence I’m a bad boy.
But caution: what i’we’ may see as obviously morally wrong is encased in more complexity of law. Law can trump morals and ethics (though of course I know that many laws are meant to protect certain virtues). In other words some are surprised when an obvious ‘wrong’ is allowable in law.
Never back down - as I always say. With about 5 good AI resources - many totally free - the ordinary person now has powerful assistants to help fight back. I’m unable to give any tips in open forum as that’s against the rules apparently. [Message me separately if you need more]