Be accountable

As a leader or manager in health and social care, you must:

  • take responsibility for your actions and decisions
  • hold yourself and others to account for doing the job well, working together fairly and effectively and always looking for ways to improve

That means:

  • following the relevant professional codes of conduct, including duty of candour where appropriate
  • taking responsibility for your work, including tasks you delegate to others, making sure they are done well
  • holding yourself, and those you are responsible for, to the highest professional and ethical standards
  • if things go wrong, promptly applying all relevant processes
  • admitting when you fall short
  • showing humility and a commitment to improve
  • setting fair and realistic expectations, balancing ambition with what is possible
  • responding to serious incidents and inquiries with honesty and transparency
  • taking appropriate steps to rectify issues, including with patients, people who draw on care, their families and communities neighbourhoods and wider communities
  • being transparent about decisions and how they are made
  • honouring promises and commitments
  • recognising personal challenges without losing focus on the job


What do effective and ineffective practices look like?

Effective practice

  • Sets realistic goals with clear outcomes, explains what is needed to reach them and measure success.
  • Promptly acknowledges mistakes, takes responsibility and works with others to stop them happening again.
  • Identifies gaps in support, acts to address them and involves others in finding lasting solutions.
  • Takes responsibility for unintended outcomes and works with others to improve results.
  • Communicates honestly and sensitively with their teams and those they report to – explaining clearly why tasks have gone well or badly and making sure people take responsibility when they need to.

Ineffective practice

  • Lets teams drift from reactive task to reactive task, without clear goals and ways to measure success.
  • Avoids taking responsibility, shifts blame to others and fails to resolve issues effectively.
  • Ignores feedback, blaming others for problems and allows issues to continue.
  • Ignores what is happening and undermines trust by not acting.
  • Avoids uncomfortable conversations and doesn’t challenge poor practice.