The report indicates a marked reluctance by qualified personnel, both in ATC and Airfield Management, to formally declare that they were unhappy with the operations being conducted. The real question is what is the culture of risk awareness and reporting at Manchester, and why was there a reluctance to make such a report? It's easy to blame "management pressure", but what kind of person would risk sending a couple of hundred people to a very unpleasant demise before they would run up a red flag with management over something they felt was unsafe? The pilots were not blameless in this (for the obvious acts of ommission), but they are almost incidental to the underlying cause of severe and multiple cases of poor judgement and lack of integrity within the Airfield Operations staff. Such a widespread problem is historically linked to flawed leadership at a higher level.