Intended for healthcare professionals


Survey of UK doctors highlights blame culture within the NHS

BMJ 2018; 362 doi: (Published 20 September 2018) Cite this as: BMJ 2018;362:k4001
  1. Jacqui Wise
  1. London, UK

A major survey of UK doctors reveals a bleak picture. Many feel they work in a dangerous and toxic environment with a blame culture which jeopardises patient safety and discourages learning and reflection.1

The survey of 7887 doctors—including GPs, junior doctors, and consultants—was carried out as part of a BMA project, Caring, Supportive, Collaborative, aimed at finding solutions to the challenges faced by the NHS.

Most doctors (78%) said that NHS resources are inadequate and that this significantly affects the quality and safety of patient services. Patient services have worsened, including waiting times for patients and staffing levels, they said. Around three quarters said that national targets and directives are prioritised over the quality of care.

The survey found that 95% of doctors …

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