They can be a law unto themselves, when a shrink near killed me with bad med treatment we had a real shouting dual. I felt i wanted to deck him but he was a massive black guy and I was wreck, even so security was called ,.But he had damaged me when I needed help , he was sacked a month after over another matter. But the NHS in England give any one a job who are qualified could be just months with no experience in the wards , they just read out books and take a stab at any med that takes there eye.