Culture of care barometer

The Culture of Care Barometer (CCB) is a survey tool designed to help organisations gauge the culture of care they provide. It supports organisations to understand the culture within organisations, multidisciplinary teams and groups by encouraging discussion and reflection.

The Barometer is a quick and easy to complete paper based questionnaire or online survey that creates the opportunity for staff to engage in discussions about the culture of the organisation, area or team. By encouraging reflection and stimulating conversation, the Barometer helps to break down barriers to highlight troubled areas.

The CCB was developed from the early discussions of a group of professionals, carers and managers, who were so concerned by the failings at Mid Staffordshire Hospital that they were determined to explore what could be done to improve the quality of care for patients. As a result, the first early blueprint of a tool to measure the culture in care organisations was developed. In April 2014, NHS England, under the leadership of Chief Nurse Jane Cummings, and through Caroline Alexander, NHS England (London) Chief Nurse, commissioned the further development of this blueprint along with a detailed report and literature. In March 2015 the first edition of the Culture of Care Barometer report was published.

Start using the tool today

Set up an online version of the tool for your team or download the paper based version.

If you have any questions about how your information will be used by Kings College London, please contact

The ‘how to guide’

The Culture of Care Barometer: how to guide offers step-by-step instructions to ensure you maximise the benefits of the Barometer. Following the five easy steps – get ready, implement, talk, feedback, act – will help you to have the right conversations that can enable real cultural change.

As it was developed in the care environment, the Culture of Care Barometer can help highlight the early warning signs of cultural issues which could impact on patient care. The tool is built around seven cultural factors that help to indicate specific issues within the care environment. These are: engagement, empowerment, leadership, values, role, resources and teamwork.

The guide includes tips and useful facts, and includes feedback and suggestions from the trusts that were involved in the pilots.