Recommendation 216

Patient safety in the leadership framework

The leadership framework should be improved by increasing the emphasis given to patient safety in the thinking of all in the health service. This could be done by, for example, creating a separate domain for managing safety, or by defining the service to be delivered as a safe and effective service.

The NHS Leadership Academy is developing, with extensive stakeholder involvement, a new healthcare leadership model for the NHS.    This will give due emphasis to leading for patient safety.


The NHS Leadership Academy’s new healthcare leadership model for the NHS was published in November 2013. The Model is comprised of nine ‘leadership dimensions’ which set out the qualities that good leaders at all levels in the NHS should express. The importance of each dimension for an individual will vary based on the type of job they have, the needs of the people they work with, and the context of their role within their organisation.