NHS Blood and Transplant People First

Behavioural Safety

To ensure we keep everyone safe, we are now focusing on human factors - changing culture. If everyone looks out for each other and questions and reports where things are not right, we can all keep safe and healthy. 

To achieve the leadership ladder theme of 'leading discussions about our safety culture' managers should ask their team the six core skill questions referred to in the changing safety culture training. Where possible this should be on an anonymous basis.

Results are then discussed at your PDPR to identify improvements and development opportunities to improve your scores.

Improvements in scores or continued good scores can then be used as evidence for the leadership ladder.

Tools available:

  • Safety Topics available to be used for observations, tool box talks or as information leaflets to teams
  • Asking your team what they find difficult or time consuming then doing something positive about it.  Make sure you monitor its effectiveness
  • Coaching using the 0-10 technique
  • The triggers, behaviour, outcome (TBO) model to understand why you have seen what you've observed and identify opportunities for making changes.

If everyone actively implements behavioural safety techniques in their areas, we can improve on our safety culture and ensure we maintain a healthy workplace for all.

How to Challenge Positively

Set clear expectations of behaviour.  This can removed the historical 'This is the way it has always been done' culture.  Don’t  make any challenge personal.  Use positive language to question unsafe behaviours and encourage safe behaviours.

For example, not saying "Why did you it do that?" and changing it to "Was that the safest way to do that job?"

Exploring this further by using different coaching techniques to reach the most appropriate outcome.

Leadership Ladder

For more information

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