Action against Medical Accidents. Just culture. 2021a. (accessed 12 April 2021)

Action against Medical Accidents. A vision of what a ‘just culture’ should look like for patients and healthcare staff. 2021b. (accessed 12 April 2021)

Department of Health. An organisation with a memory. Report of an expert group on learning from adverse events in the NHS chaired by the Chief Medical Officer. 2000. (accessed 12 April 2021)

NHS blame culture sees nurses referred to regulator without investigations. 2021. (accessed 12 April 2021)

NHS England/NHS Improvement. The NHS patient safety strategy: safer culture, safer systems, safer patients. 2019. (accessed 12 April 2021)

NHS Improvement. A just culture guide. 2018a. (accessed 12 April 2021)

NHS Improvement. A just culture guide. 2018b. (accessed 12 April 2021)

NHS Improvement. Just culture case profiles. 2019. (accessed 12 April 2021)

NHS Resolution. Being fair: supporting a just and learning culture for staff and patients following incidents in the NHS. 2019a. (accessed 12 April 2021)

NHS Resolution. Did you know? Being fair. 2019b. (accessed 12 April 2021)

Survey Coordination Centre. NHS staff survey 2020: National results briefing. 2021. (accessed 12 April 2021)

Developing a just culture in the NHS

22 April 2021
5 min read
Volume 30 · Issue 8


John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses several reports on developing a just culture in the NHS

Over the years there have been several buzzwords and phrases in the NHS—patient advocacy, accountability, clinical governance, to name but a few. These terms focused attention on certain issues with many study days and articles. They are general, open-ended terms and various meanings can be ascribed to them. In a sense, they can mean whatever we want them to mean. They instil debate, which is a healthy exercise.

The key point to remember is that it is the ideas behind the label that matter, not necessarily the label itself.

These terms are still with us but there are other, perhaps more contemporary, concepts that now vie for our attention. One of these terms is ‘just culture’. This term is frequently bandied around the NHS and people make regular pleas for it. The patient safety and justice charity Action Against Medical Accidents (AvMA) points out:

‘There is no single definition of “just culture” and most discussion of it is limited to the issue of being fair to healthcare staff.’

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content