Dr Anand does not need to ask for permission to disagree with me.
I cannot read the article (subscription) and I am not at all sure of what Sir Robert has actually said. But based on what he has said previously, I suspect it will amount to doctors being subject to rules about 'transparency and honesty' and that doctors have a duty to serve their patients. If managers are not subject to similar duties of 'transparency', then if their duties involve things which conflict with 'the patient comes first' (for example, if 'orders from above stress money saving as a priority') and managers effectively force clinicians to provide a worse service, it is possible for 'management' to 'try to put the blame on the clinicians'. Nurses - from reading Nursing Times discussions - are definitely not happy about that.
I feel sure that Sir Robert is fully aware of the potential of such 'buck passing' and blurring of who is responsible for what - making a 'guess in the dark', my suspicion is that he is now trying to deal with that. I might be wrong: at the moment I do not have the online time to study what Sir Robert has recently said, because at the suggestion of a doctor I joined Twitter last week and that is currently consuming a lot of my online time.
Competing interests: No competing interests