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It would be wise for the NHS to recognise that different personality types bring different skills to leadership.Many of those who aspire to lead are less suited to the job than some who take a step back by natural inclination but are nevertheless gifted and respected.These latter are often more sensitive to the needs of others and as a consequence able to encourage much more in the way of esprit de corps and real inclusive, across the board progress -avoiding some of the pitfalls from insensitive management.