Providers accepted that supervisors had to report to HC managers when attitudes or competences were considered inappropriate. However, several providers complained this was done in improper ways which could harm the trust, such as a provider in FGD4: ‘There were some things which were not well completed. Then, s/he [supervisor] thereafter told the chief [HC manager] … “What does s/he do in that service?” Yet, I had been working in that service for two years, and s/he talked to my employer without telling me anything. That shows s/he held me up to ridicule without even coming for training me.’ (P3, female, A1 degree)