NHS leaders should be held accountable for the Stafford Hospital scandal according to Professor Aidan Halligan, England's former deputy chief medical officer.
He says the roots of the Mid Staffordshire affair go "much deeper" than the hospital staff who caused harm to patients.
Writing in the Journal of the Royal Society of Medicine, Professor Aidan Halligan says cultures of "target setting and corner cutting" were set higher up in the health service.
Professor Halligan, now director of education at University College London Hospitals NHS Trust, said that there has been a "deafening silence" from the medical profession since the release of the Francis report into serious failings at the Mid Staffordshire NHS Foundation Trust.
What does the decision to appoint trust special administrators to run Mid Staffordshire NHS Foundation Trust mean?
The Health Secretary's response came after failings at Mid Staffordshire NHS Trust, which highlighted the suffering of hundreds of people.
The Health Secretary, Jeremy Hunt, has today outlined new plans for NHS following the Stafford scadal