What is a safety culture?

A safety culture is at the heart of helping people work safely.  The right culture is one that is kind and fair (often referred to as ‘just’) and helps people build strong relationships with each other.  We believe it is essential to better care for those who care for patients to foster a safety culture where you are.

Connecting through conversations

Thousands of people have experienced for themselves how different it feels to be part of a conversation where kindness, curiosity and humility are front of mind. It is the very foundation of working safely. You don’t need to wait for permission to seize your chance to make change happen.



It’s harder than you think but one of the most generous things to do…


Asking Questions

Dig deeper, grow the conversation and discover more…



This work is grounded in evidence from across the world…


Why it Matters

The right conversations can help make a safety culture a reality…


Being kind is the most important thing you can do
to help change the culture in healthcare today

Kindness matters

Kindness is key to helping a safety culture grow.

Everywhere we look more and more people are understanding that how we behave and the values we live by can have the most significant impact on our work and every aspect of our lives.

How we can help you

The right conditions and mind-set are needed to help bring about a strong safety culture where people feel cared for and supported. This isn’t about something ‘new’ or a ‘quick fix’ thrown at front line staff as the latest fad. We can help you experience and role model the values, attitudes and behaviours that help you work safely.

  • Are you really listening, or are you just waiting for your turn to talk?

    Robert Montgomery Author

Learn from others like you

Read about our members’ own experiences of putting into practice what we have all learned together about building a safety culture, and hear from the Sign up to Safety team who share encouragement, knowledge and reflections on the latest thinking to help you.

Kindness and patient safety

Adam Mohamed

“There is a growing recognition that kindness is vital for human connections and relationships. However, it is often seen as ‘fluffy’ to talk about being kind or compassionate or caring. It is seen as more of an afterthought than a driving force…”

Improve incident reporting culture

Justin King

“At the start of our journey at University Hospitals Coventry & Warwickshire we had relatively low incident reporting rates and staff were telling us that they didn’t hear about the outcome of incident reports…”

Our members

When Sign up to Safety launched back in 2014, we aspired to bring organisations together behind a common purpose; to create the conditions for making care safer. We started with just 12 but before we knew it, we had grown and grown and we’re now a community of over 500 organisations and practices from across the NHS and beyond.

Sign up to Safety comes to an end in March 2019, so we are no longer encouraging new members to join. But if you’d like to receive our free fortnightly newsletter full of advice, latest thinking, opinion and encouragement, which will run right up until then, you can join the mailing list below.

About our membership

Since 2014 our community has connected organisations and individuals who are working hard to make care safer. Although our day to day work may differ from person to person, we all want the same thing; to help the right safety culture grow and flourish.

We have supported our members to work on what matters to them, and to understand how caring for each other and building strong relationships can help. Over the years we provided information and insights to help in convincing others to give it a go, as well as ideas and positive encouragement. All in an easily digestible format via our website, social media and newsletter.

Our aim has been to inspire people to play your part in making patient safety everybody’s responsibility, and a positive and empowering approach to learning the norm, not the exception.

Connect with us


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