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Departments should promote a caring and supportive culture, in which every effort is made to identify and support those who may be in difficulty and have a means of offering appropriate support.¹⁵

Local guidance should be developed for the intrahospital transfer of neuroscience patients, based on guidance from the Neuroanaesthesia and Neurocritical Care Society (NACCS), the Association of Anaesthetists and the Intensive Care Society.^41,42,43

Departments should have a clear and explicit strategy for developing a strong and supportive patient-centred safety culture. The departments strategy should emphasise using a systems based approach where safety systems are put in place that usually prevent accidents from occurring and develop systems that positively improve patient and staff safety.