From surgeons to senior civil servants, even the most decent people can make disastrous mistakes. But these gaffes require honesty

Gabriel Weston made a mistake at work this summer. It doesn’t define her – she was and is a well-regarded NHS surgeon and author – but it was serious enough, as she explained in an extraordinarily candid series of Instagram and Substack posts this month, to prompt an investigation that left her feeling “ashamed and alone and really quite nervous”. Whatever went wrong in the operating theatre was bad enough to be classed a “never event” (something that should never be able to happen if the process is working properly) and triggered a nagging anxiety that she might somehow do it again, unless she figured out where she had unexpectedly gone wrong.

It’s a fascinating insight into a process that most people never have the courage to talk about openly. But it also highlights why it’s so hard in practice for doctors and other professionals to acknowledge and learn from mistakes – as every public inquiry into every public scandal ends up recommending, only to repeat it all over again after the next one – rather than close ranks and cover up. Weston says she only spoke up out of frustration with what she saw as her employers’ failure to support her (she had asked to reduce what she considered an overloaded operating list to take some pressure off, which she says has now happened, leaving her full of praise for the hospital’s ultimate response). Judging by the responses to her posts, she’s not alone.

Gaby Hinsliff is a Guardian columnist

In the UK and Ireland, Samaritans can be contacted on freephone 116 123. In the US, you can call or text the 988 Suicide & Crisis Lifeline at 988 or chat at 988lifeline.org. In Australia, the crisis support service Lifeline is 13 11 14. Other international helplines can be found at befrienders.org

Report calls for an effort to tackle harms in similar way to obesity and smoking, and stresses need to ‘offer boys something better’

The manosphere and online misogyny should be treated by the government as a public health issue, in the same way as obesity or smoking, experts have said.

Writing in the Lancet, the authors of a new report argue that a coordinated response is needed, involving governments, schools, health services and community organisations, similar to the public-health response to tobacco use and ultra-processed food.