Intended for healthcare professionals

Letters Tribalism and toxicity in maternity care

Staff emotional safety in maternity care

BMJ 2023; 381 doi: (Published 01 June 2023) Cite this as: BMJ 2023;381:p1240
  1. Andrew Belford, child and adolescent psychiatrist
  1. London, UK
  1. ajb01{at}

Wilkinson highlights “tribalism and toxicity” as contributing to failing maternity services, citing Kirkup’s report attributing failures to poor culture and teamwork.1 Morgan wonders why a health system should be “powered by guilt, endless duty, and sacrifice rather than by safe working conditions, fair pay, and patient centred reorganisation.”2

Wilkinson quotes Kirkup as saying, “If resources are scarce then teamwork is not …

View Full Text

Log in

Log in through your institution


* For online subscription