A National Health Service (NHS) report found a deeply 'toxic' work environment at Mersey Care NHS Foundation Trust where the staff work in fear of the senior leaders. Some of the workers said they were 'fearful, anxious and unable to speak openly' because of leadership behaviour.
The relationship between senior leaders and staff was described as 'adversarial and distrustful,' with officials thought to succumb to favouritism and nepotism often. The internal politics created 'a divisive and toxic culture' often described as 'dysfunctional.'