Senior doctors are calling for greater accountability for Nhs Managers following the case of child serial killer Lucy Letby. The British Medical Association is leading calls for managers to be held accountable to a regulator similar to the General Medical Council. Families of Letby's victims and MPs have expressed concerns that the current inquiry into the case will not have the power to conduct a proper investigation. Doctors argue that the powers of managers in hospitals have increased to the point where they are overruling clinical advice or decisions. Some doctors are demanding professional regulation for NHS managers.

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