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    Rights statement: This is the peer reviewed version of the following article: Goodwin, D. (2019), NHS Inquiries and the Problem of Culture. The Political Quarterly, 90: 202-209. doi: 10.1111/1467-923X.12693 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/1467-923X.12693 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

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    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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NHS inquiries and the problem of culture

Research output: Contribution to journalJournal articlepeer-review

Published
<mark>Journal publication date</mark>27/06/2019
<mark>Journal</mark>The Political Quarterly
Issue number2
Volume90
Number of pages8
Pages (from-to)202-209
Publication StatusPublished
<mark>Original language</mark>English

Abstract

If inquiries are about learning the lessons of the past, why do they appear to find the same failings time and again? Bristol, Mid Staffordshire, Morecambe Bay, Liverpool Community Health are all examples of where culture went wrong. The lack of learning from inquiries is a prominent concern and one raised elsewhere in this issue. In this article, I explore why it might be that culture is repeatedly found to be the cause of healthcare failures. I start by reviewing perspectives on what culture is and the degree to which it is possible change it. I examine how culture was described in the Bristol, Mid Staffordshire, Morecambe Bay and Liverpool inquiries and question whether these are the same cultures with the same problems or whether they are different. I discuss possible explanations for apparent similarities, describe how cultural change occurs and conclude by drawing out the implications of focusing on culture as a threat to patient safety.

Bibliographic note

This is the peer reviewed version of the following article: Goodwin, D. (2019), NHS Inquiries and the Problem of Culture. The Political Quarterly, 90: 202-209. doi: 10.1111/1467-923X.12693 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/1467-923X.12693 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.