Culture and LeadershipIn recent years there has been an increasing focus in the UK and internationally on approaches to improve safety and this has led to greater recognition of the importance of the culture of organisations and teams.

Our goals

A number of surveys, frameworks and assessment tools have been developed to understand the culture of an organisation, whether it is ready for improvement initiatives and the factors that may most help or hinder improvement efforts.

General ‘organisational culture’ tools of various types are available, as are tools specifically to assess safety culture. We will invite all provider organisations to take part in the assessment of their organisations’ culture/safety climate.

In addition to the cultural assessment, we will support trust boards through a development programme delivered by AQuA (Advancing Quality Alliance).

How will we know if we are making an impact?

We will present information as case studies. Cultural assessments will be undertaken for up to 4 years. We will be able to map over time the changes in staff perception of safety, the boards’ development of a safety culture and evaluate the impact of safety interventions using a psychological safety questionnaire. Together these measures will support organisations to develop their safety culture.

Second victim support

'Second victim' is a term referring to the effects of an unanticipated patient event, a medical error or patient related injury on staff who have been involved. First identified by Albert Wu (Wu 2000). We now recognise how this is manifested in staff. Symptoms such as anxiety, anger, guilt, fear, depression can last weeks, months or years and result in time away from work. There is much we can do to support staff. EMAHSN PSC funded a team of academic and clinical psychologists at the University of Leicester and Cardiff University to develop a victim support unit in the Children's Hospital, Leicester. The response from staff has been very positive, helping them feel supported and remain at work. A copy of the report is pdfavailable here.


pdfHuman Factors and Classification System (HFACS) report
pdfDeveloping a safety culture poster 2017
pdfEvaluation of the AQuA Culture & safety board development programme in the East Midlands

Insight from Lyn Bacon CEO, Nottingham City Care about her AQuA experience

Andy Haynes, Medical Director at Sherwood Forest Hospitals NHS Foundation Trust talks about this experience of AQuA

Prem Singh, Derbyshire Community Health Services, talks about East Midlands PSC AQuA board development

Cathy Winfield, Chief Nurse and Director of Patient Experience at Royal Derby Hospital talks about East Midlands PSC AQuA board development and safety