So if personnel and employment law systems cannot deal with the serial bullies, I think it is unfortunately unlikely that the NHS can or will do so except in exceptional circumstances.

I take your point and in these resource-led days I fear you are right. But because the serial bully may not be able to be helped (or sectioned) - perhaps you may agree that this should not mean they should all be promoted and elected into high office - as currently it looks to be the case? *Smiles*

If we were honest - we should all perhaps be prepared to admit that some of the things on the list may apply to us at some time....... Hopefully not all of them all of the time.