Accountability is a preparedness to give an explanation to relevant others for one's judgments, intentions, acts and omissions when called on to do so. A central tenet of professional accountability is that each nurse is personally accountable for his/her own practice. A less negative definition of accountability is proposed, through discussion of the concept of collective accountability held by the profession. The accountability of the non-specialist nurse engaged in neuroscience care is examined using a case study analysis which compares the expectations of care held by a patient and his neuroscience specialist carers. As increasing demands are placed on health services, specialist patients will be placed in non-specialist clinical areas. There is a requirement for the profession to demonstrate a collective accountability, and for specialist nurses to more actively support the accountability of their non-specialist colleagues in meeting the needs of the specialist patient.
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