Intended for healthcare professionals

Letters Letby case and limits of a no blame culture

No blame policy is not no blame culture

BMJ 2023; 383 doi: https://doi.org/10.1136/bmj.p2300 (Published 10 October 2023) Cite this as: BMJ 2023;383:p2300
  1. Andrew J Belford, child and adolescent psychiatrist
  1. London, UK
  1. ajb01{at}tpg.com.au

Mathew’s headline talks of the “limits of a no blame culture” but the text mentions “worrying about breaching a ‘no blame’ policy,” indicating the absence of a no blame culture in the NHS.1 Leary2 and Oliver3 go on to provide ample evidence of a blaming culture and its harmful effects on good care.

Discussions of the cases of Letby, East …

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