• Describe the cultural context of the organisation and any relevant recent history in terms of cultural dynamic.
  • Detail how different departments engaged with the cultural transformation, and any board-level buy-in that supported this.
  • Outline the goals set, and what measures were put in place to achieve them.


  • Evidence that the organisation now has patient safety embedded at the heart of operations, and that staff and patients are heard, with concerns being acted upon.
  • Provide supporting testimonials from staff and patients.
  • Show clear improvements in patient safety across the organisation, supported by quantitative data, covering multiple aspects of the safe delivery of care.


  • Demonstrate how the cultural change has spread throughout the organisation.
  • Provide specific examples of how this spread could be replicated in other settings or organisations.


  • Clearly evidence how the cultural change has improved value for patients and staff, in terms of patient experience, staff satisfaction and quality of care.
  • If possible, provide evidence of value creation in other areas, in terms of increased capacity, reduced adverse events (and therefore investigatory or litigation costs) and/or improved efficiencies.


  • Provide clear evidence of a multidisciplinary approach, with all relevant parties fully engaging in the work, including managers, medics and nurses as well as patients and families, and how this has led to improved safety.
  • Demonstrate a culture in which all members of staff can raise concerns and make suggestions for improvements.