SIR – The report on 14 health service trusts showing thousands of unneccesary deaths must surely – finally – ‘blow the lid off’ this big NHS cover-up once and for all.

Patients (and relatives) treated with contempt by some medical staff.

Highly paid managers, managing goodness knows what, presiding over a national disgrace.

There really are no words to describe it all now. Shameful.

If I hear one more condescending manager (or deputy, or deputy deputy of this or that) saying, ‘We have learned lessons’ I will scream. Learned lessons?

Off the back of thousands of people who died needlessly?

Often in degrading circumstances?

How can you have learned anything?

The numbers are like those of a war zone, not a health service, and we make more fuss if they are war casualties.

And let’s be honest, our own trust has not been immune either. Drinking out of water vases is nothing to be proud of. The teams the Government speaks of should be sent into all trusts in my opinion.

Any managers (out of the thousands there are) found to be useless should be sacked.

They take the wages, now take the responsiblity. Any staff found to be the same should go the same way.

These people are dragging down the really good ones, (there are plenty) as well as putting ordinary people’s lives in danger.

We should praise to the rafters good work, but this scourge needs removing-now.

RICHARD FARRELL-ADAMS

Worcester