Abstract
Objective: This second paper follows an exploration of the nature of blame and addresses the balance between a ‘blame-free’ health culture and appropriate accountability. This paper aims to define and describe accountability as a key component of clinical governance and a responsive, fair and transparent health culture.
Methods: The literature is examined and the concept of a fair and transparent health culture is explored. The case vignette in Part 1 is used to illustrate a particular issue of accountability.
Results: The place of accountability in relation to clinicians and health organisations is elucidated.
Conclusions: The necessary conditions for an accountable, responsive, fair and transparent health culture are proposed.