The culture of "whistleblowing (告发)" should be an essential part of the health worker’s professional duties. And yet in parts of the NHS (国民保健服务) and social-care system,employees have deep (47) about intimidation (恐吓), being criticized by colleagues, and even having their career (48) if they (49) the authorities about misconduct or substandard care. Efforts have been made to address this. The Public Interest Disclosure Act 1998 offers (50) from victimization when workplace malpractice is revealed. The General Medical Council, British Medical Association, Royal College of Nursing and others have issued (51) to try to instill confidence in their members, including telephone hotlines. Yet a reluctance to speak out (52) Every health trust should have a protocol (协议,教程) and (53) system for handling reports, (54) for all employees to view and use. Employees are under an obligation to respond to any report and not to penalize those who have highlighted a flaw or shortcoming. As the Medical Schools’ Charter advises future doctors, when considering reporting an issue the question is simple: would you like to be treated by this person or would you (55) your family to this situation Any member of the health service who answers "no" should feel safe to act (56) A. available I) inform B. concerns J) inspiration C. considerable K) guidance D. established L) protection E. exceedingly M) remains F. exert N) ruined G. exposed O) subject H) immediately