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Surgical tech, here.
Um... What the fuck? NHS, you need to get your shit together.
I've only worked in US military/civilian hospitals, so I can't speak on the NHS, but in the US at least there's no 'open secret' of sexual assault in surgery. At minimum you've got a surgeon, anesthesiologist, nurse, and tech in the room, so if any one of them tries to assault one of the others, it'll be in plain view of two witnesses.
We've definitely got a few relics from another era (old perverts who constantly push boundaries), but even they know better than to try to do something physical. X-rated 'jokes' directed where they aren't welcome is another story, but those aren't some 'open secret' that we just tolerate, either: fucker's getting told off and written up.
Surgeons especially are notorious for having a short temper and shit social skills, and HR won't raise a fucking eyebrow over Drs creating a hostile work environment in pretty much any way -other- than sexual. But a sexual harassment/assault complaint? I've seen two of those put in (both at a private civ hospital, two different surgeons/incidents) and both times HR intervened that day. Wish I could have been a fly on the wall for those conversations, cuz whatever they threatened did the trick - surgeon was absolutely walking on egg shells from there on.
If there's any open secret it's "different spanks for different ranks" - if the accused was a nurse or tech, they'd be fired on the spot, where Drs are given much more leeway / second chances, but that difference is much more narrow when it comes to sexual harassment/assault.
The only way I can think they might get away with that shit is if no one's reporting them, so if you see it, FUCKING SUBMIT A COMPLAINT TO HR.