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Connect North is an innovative, integrated and co-designed social prescribing service operating across the Northern Health and Social Care Trust (NHSCT) area in Northern Ireland. Finalist in two Picker Experience Network (PEN) Awards categories both in 2024 and 2025, Connect North demonstrates how integrated, person-centred approaches can improve access to care, reduce system complexity and patient safety risks associated with fragmented services and delayed support. We spoke to Claire Ramsey, Health and Wellbeing Manager at Connect North, to find out more about the service. Hi Claire. Can you tell me about Connect North and why was it set up? Connect North was established in response to system-wide challenges highlighting a fragmented and confusing system. Signposting information was available, but only by referral, and services held varying referral criteria—individuals could be known to multiple services for similar supports while others in need were left unsupported. This fragmentation created clear risks to clients, including delays in accessing support, increased likelihood of deterioration while waiting for help and the potential for vulnerable people to fall through gaps between services. In response, Connect North was created to integrate and streamline services into one coordinated model, reduce duplication, improve access to community-based support and empower individuals to access support earlier through better information and self-service options. We support adults to address social, practical or emotional issues through a publicly available online directory of services, accessible signposting or via referral to our link worker service for more tailored support. How did you involve patients in co-designing Connect North? Connect North actively engaged with clients and carers at every stage; from review of services to identifying problems, shaping the service model and co-producing resources, to ongoing evaluation. Their needs form the anchoring principles of the Connect North model, service and improvements. What is social prescribing and what are the benefits to patients? Social prescribing is a holistic, person-centred and community‑based approach, which recognises that non-medical health-related social needs—for example, work, money, housing problems, the challenges of managing long-term conditions or feeling lonely or isolated—are just as important to our health and wellbeing as our physical health needs. Social prescribing connects people to activities, groups and services in their community to meet the practical, social and emotional needs affecting their health and wellbeing. It can lead to better mental wellbeing, stronger social connections, improved self‑management of long‑term conditions, greater empowerment and control, and reduced reliance on traditional healthcare services. You mention long-term conditions; can you give an example of how Connect North can help a patient with a long-term condition? I’ll use a diagnosis of dementia as an example here. The impact of this diagnosis on the person and their care circle can be overwhelming, leaving many unsure where to turn for help or feeling alone. Without timely and coordinated support, this uncertainty can lead to increased carer stress, social isolation, delayed access to services and a higher risk of crisis situations developing. Connect North provides personalised, early support to guide people through this difficult time. Clients are offered a one-to-one appointment with a dedicated link worker who takes time to assess and understand their needs, concerns and what matters most to them, before connecting them to services and activities to improve their wellbeing. To speed up connection and reduce misconnections between those who need help and support to those who provide it, we set-up our Community Appointment Days (CADs). CADs enable clients with dementia and their carers to connect directly with a wide range of support within a single appointment. Can you tell me more about the Community Appointment Day? The aim of our Community Appointment Day (CAD) is to make things simpler, faster and less stressful, helping people with dementia and their care circle feel informed, supported and more confident about the future. Immediately following a personalised assessment and care planning appointment with their link worker, clients and their carers are directly introduced to services who can support their needs, within the same appointment. Delays and misconnections to these services are completely eliminated and we use our own service data to ensure relevant statutory, community and voluntary sector organisations are represented for maximum impact. Support services invited typically include those who provide carer support, dementia-specific information, benefits advice, personal and home safety information, and those hosting local groups and activities to improve social connectivity. Another important feature of our CADs is that they are hosted in accessible, non-clinical community venues. At each event we create a relaxed and warm environment enabling positive engagements. Every conversation is purposeful and led by the pace of each client and their carer. Clients and carers can attend together or separately as they require, and we encourage regular breaks throughout with refreshments provided. At the end of the appointment, each client/carer is provided with a clear, easy to understand record of their conversations and connections made on the day supporting recall and follow-up. What were the outcomes and how has it benefited the community? Our CADs make dementia support for our clients and their carers timelier and more effective while also improving how local services work together as an integrated system. Providing multi-agency care and support via a single appointment reduces referral administration and delays/misconnection to care provision. Evidence indicates increased uptake of support at an earlier stage, improved coordination between services and reduced duplication of referrals, contributing to a more responsive system. It also alleviates the burden of responsibility experienced by clients and their carers to navigate complex systems, connect with services and coordinate multiple appointments. We consistently find that more people are accessing and taking up support earlier. This earlier engagement is critical in preventing deterioration and reducing the likelihood of crisis developing. From a system where people frequently felt on their own with no help and support, to our CADs which offer direct and coordinated care within a single appointment, the client experience is far improved: “This has completely changed our whole outlook, we are so much more positive about the future.” “We had no idea so much help and support was available.” “I can’t believe the tenderness of it all—it’s been wonderful.” Co-delivery partners find the CAD and our targeted approach to service delivery around the client to be a more effective use of their time, generating appropriate referrals more efficiently. They also enjoy the opportunity to network, share learning and connect meaningfully with clients and carers to make a positive impact to their health and wellbeing following a diagnosis of dementia. What advice would you give others wanting to set up something similar in their community or region? Bring the system to the person, not the person to the system. A CAD requires targeted planning based on needs. While strong partnerships and continuous improvement are essential for any event, a CAD specifically requires data-driven planning and effective organisation to deliver a streamlined and personalised appointment with a clear focus on the reality of client and carer needs and experiences. Application of good health literacy principles in practice is essential at all stages and support needs to be timely, coordinated and always centred around the needs of the individual. What are your next goals and plans for the future? The future focus for Connect North is on sustaining and refining our CAD model, ensuring it remains efficient, person-centred and adaptable, while extending its benefits to more people and, potentially, other areas of care through sharing learning, resources and good practice. In the NHSCT, we are particularly interested in how this model can be adapted to support other population groups and conditions. We will continue to collect and share our own service data and outcomes with partners and stakeholders to support further improvements, ensuring our service remains targeted, efficient and responsive to need. Are you doing something similar in your community? We would love to hear about it and share on the hub. Email [email protected] or comment below (you need to be a hub member and signed in).- Posted
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Content Article
The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) reviewed the care of adults with a diagnosed learning disability who attended/were admitted to hospital as an emergency between 1st July and 30th September 2024. Care was reviewed using 666 clinician questionnaires, 366 sets of case notes, 144 primary care questionnaires, 199 organisational questionnaires, 832 healthcare professional survey responses and 82 patient/carer surveys. Recommendations Accurately record a person’s identified learning disability in the electronic patient record/clinical notes and in learning disability registers/lists. This information should be accessible across healthcare settings to ensure prompt recognition and proactive care for patients with a learning disability on arrival at hospital. Assess and implement reasonable adjustments for patients with a learning disability. This should be undertaken: proactively if the reasonable adjustments have been flagged, and in place when the patient arrives in hospital; as soon as practicable after arrival/admission to hospital and be reassessed throughout the admission. Use decision support tools to aid healthcare professionals when assessing mental capacity in patients with a learning disability. Consistently and continuously involve people with a learning disability in their care during a hospital admission. This should be from the point of arrival through to discharge. Include:support from carers as appropriate; Reasonable adjustments at all stages, e.g., using communication tools to support conversations. Commission local learning disability support services to enable equitable access to care for patients with a learning disability who attend or who are admitted to hospital. Consider: using multidisciplinary community learning disability services to provide an in-reach service; upskilling all healthcare professionals to care for people with a learning disability; locally assessing how many patients are seen annually to determine the size of the service needed.- Posted
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untilThis webinar will assess progress to date on the 10 Year Plan’s commitment to give “power to the people” by amplifying patient voice, expanding patient choice and reprioritising people’s experiences of care. The conversation will be facilitated by Dr Rageshri Dhairyawan, NHS doctor and author of Unheard: The Medical Practice of Silencing, and will be tailored to what progress has been made by June 2026 towards the Plan’s commitments. Panellists will share views and recommendations on how these commitments can be delivered to ensure person centred care is embedded in a reformed health service and how to consider turning the 10YP blueprint into reality. Register -
Event
The Safer Healthcare and Biosafety Network has launched a joint campaign, Protecting Healthcare Workers: Safer Handling of Hazardous Medicinal Products, to raise awareness of the dangers of occupational exposure to hazardous medicinal products. This webinar will explore the frontline clinical challenges shaping risk today, as well as the guidance, education and cultural change needed to protect healthcare workers for the future. Hosted by the Safer Healthcare and Biosafety Network (SHBN) with presentations from: Sam Toland, Nurse Consultant in Cancer Care and Lead SACT Nurse, Worcestershire Acute Hospitals Trust Alison Simons, Senior Lecturer in Nursing and Midwifery at Birmingham City University Sam Toland will draw on her experience leading chemotherapy services to examine how the clinical landscape has changed for nurses handling hazardous medicinal products. She will discuss the growth in treatment volumes, the increasing complexity of SACT regimes, and the implications of the growing shift towards subcutaneous administration, a route that eases capacity pressures but introduces new and harder-to-control exposure risks for nursing staff. Alison Simons will address the policy and practice environment in which these clinical pressures play out. She will discuss the current state of UK guidance on the safe handling of HMPs and what meaningful improvements to education and training look like in practice. She will also consider the barriers that prevent safer practice taking hold across healthcare settings, even where guidance exists. This session is intended for nurses, pharmacists, oncology healthcare professionals, safety leads, educators and policymakers with an interest in the safe handling of hazardous medicinal products and the systemic changes needed to better protect the healthcare workforce. Register -
Event
What is systems leadership?
Patient Safety Learning posted an event in Community Calendar
In this free webinar, Senior Consultants Mark Patterson and Matthew Rice will explore what systems leadership is, why it matters, and what it asks of leaders working across health and care. Drawing on their experience of supporting senior leaders through the Top Manager programme (TMP), The King’s Fund’s longest running leadership programme, they will share practical insights into leading across boundaries, working without direct authority, and staying curious in the face of complexity. This session will offer a practical introduction to systems leadership and will encourage you to reflect on your own leadership challenges and opportunities. It’s ideal for senior leaders who want to strengthen their ability to work across organisational boundaries and create change in complex environments. You will learn: what systems leadership looks like in practice in health and care why it matters when challenges span organisations, teams and services how to lead across boundaries when we you don't have direct authority why leadership in complex systems is often a collective endeavour and what that means for how you work with others. Register- Posted
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Event
untilLord Darzi’s independent investigation into the NHS in England delivered a stark assessment of cancer care. Highlighting the gap between policy and reality, it found that the NHS is failing to meet some of its most important commitments, with core cancer waiting time standards missed for more than a decade and survival rates lagging behind comparable countries. The government’s 10-year National Cancer Plan for England sets out bold ambitions to improve survival, boost early diagnosis, and deliver more equitable, patient-centred care. With ambitious targets set for 2029 and 2035, the key question remains: can the NHS deliver these commitments while still fixing today’s pressures? At this pivotal moment, leaders across the health and care system face the challenge of building cancer services that are not only fit for today, but ready to adopt the next wave of innovation. Progress is already visible in areas, but translating national ambition into consistent, real-world improvement for patients will require co-ordinated action across the system. This conference brings together leaders from cancer alliances, policy, clinical services, commissioning, and the VCSE sector to explore what is working, and what must change, to turn plans into practice. Register -
Content Article
Making Families Count have compiled this information for families and friends of people who have been harmed when something has gone wrong in NHS provided or funded healthcare in England. This may mean something unexpected happened in care, or someone has been harmed. This is called a safety event by the NHS. You will find information about the NHS investigation process and a downloadable template document for a family to use (if you wish) to help to organise your thoughts and feedback, and to provide information to assist the investigation.- Posted
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Community Post
Painful hysteroscopy
HelenH replied to Claire Cox's topic in Patient stories
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How awful, I'm so sorry it wsa so ghastly for you. I agree, it is inequitable, why some procudures routinely offer sedation and others don't. Convention and geneder bias I guess. It's not good enough.- Posted
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News Article
NHS staff battling wave of food supplement disinformation
Patient Safety Learning posted a news article in News
Social media misinformation about the use of dietary supplements such as turmeric, St John’s wort and magnesium is now so common that dispelling online claims has become a routine part of NHS clinicians work. Two out of five frontline health workers say they encounter patients who raise inaccurate or misleading information about supplements at least once a week. Polling by YouGov for the World Cancer Research Fund found that the figure is even higher (53%) among nurses and midwives, with false information about nutrition and supplements now taking up what doctors describe as “precious time” in NHS consultations. The WCRF says it fears that patients’ belief in unproven dietary regimes, vitamins and minerals is putting their health in danger and increasing their risk of getting cancer. Dr Philippa Kaye said she saw the consequences of health misinformation every week in her GP surgery. “My patients arrive clutching newspaper stories, social media screenshots, printouts from wellness websites or saved videos from TikTok. “What particularly worries me is the widely held belief that if something is sold over the counter, marked as ‘natural’ or endorsed online, then it must automatically be safe and harmless, while prescribed medicines are somehow toxic,” she added. “As doctors, we know this simply is not true.” Read full story Source: The Guardian, 14 June- Posted
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News Article
New ‘simpler’ NHSE performance regime for acutes has 50% more metrics
Patient Safety Learning posted a news article in News
The number of metrics used to measure the performance of acute trusts by NHS England has been increased from 23 to 35. The changes come despite NHSE claiming the updated National Oversight Framework is “simpler” and more “disciplined”. The 2025-26 NOF was used to determine the provider league tables introduced by former health secretary Wes Streeting. The updated framework will fulfil the same purpose. Four of the NOF’s five domains have seen increases in the metrics included within them. The most significant increase is in the effectiveness and efficiency domain, which has increased from four to 10 metrics. Among the new metrics is one entitled “NHS staff survey advocacy rate” – which combines the results of two survey indicators: whether staff would recommend a trust as an employer and as a care care giver. A new indicator tracking the “rate of pregnant women with a delayed planned induction per 1,000 deliveries” is a reflection of the high profile of maternity service quality. The new NOF also includes two metrics measuring readmissions after 14 and 30 days. The metric tracking the “average number of days from discharge ready date to actual discharge date” has been replaced by two metrics covering “mean length of stay for older adults” and the percentage of “intermediate care beds occupied by patients without criteria to reside”. The other domain to see a big rise in metrics is “people and workforce”, which increases from just two to five metrics. New measures include “healthcare worker flu vaccination rate” and “temporary staffing costs”. Read full story (paywalled) Source: HSJ, 15 June 2026 -
News Article
UK hypermobility sufferers wait up to 21 years for diagnosis, study suggests
Patient Safety Learning posted a news article in News
People in the UK with hypermobility conditions are waiting up to 21 years to be diagnosed while suffering from symptoms ranging from chronic pain to partially dislocated joints, research suggests. The study of more than 2,000 people, which was led by the University of Edinburgh and described as the largest of its kind in the UK, indicates awareness of hypermobility spectrum disorders (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS) is low among British healthcare professionals. The conditions affect connective tissue throughout the body and are associated with joint hypermobility, chronic pain and fatigue, alongside neurological, gastrointestinal and psychological symptoms. The writer, actor and director Lena Dunham has revealed she spent years thinking her “bendy party tricks”, migraines, fainting spells and swollen knees were just quirks, until she was diagnosed with hEDs – a hereditary disorder – in her late 20s. Researchers found patients with hEDs and HSD faced “fragmented healthcare” and this could have a significant impact on their mental health, education and employment. Almost half the respondents to the online survey, which was carried out between September 2023 and January 2024, were unemployed (46%) and in receipt of disability-related benefits (48%) and most (56%) reported disrupted education. The vast majority (84%) reported chronic pain; while almost three-quarters (74%) had experienced partially dislocated joints and two-thirds (66%) had gastrointestinal symptoms. Seven out of 10 (71%) reported anxiety, 63% reported depression and 53% suffered from migraines. Read full story Source: The Guardian, 15 June 2026- Posted
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News Article
Thousands sent wrong outcome letters
Patient Safety Learning posted a news article in News
Almost 5,000 patients at one of England’s highest-performing trusts had their outcome letters sent to the wrong person. In some cases, the letters were incorrectly posted by Moorfields Eye Hospital Foundation Trust to the wrong GP. The incident affected letters sent between 25 and 29 April this year, with up to 4,926 patients impacted. The trust said the cause was a planned configuration change to its integration engine – which handles communication between clinical systems – during a migration from on-premises servers to the cloud. At the trust’s board meeting on 4 June, chief executive Peter Ridley said some outcome letters were still being processed manually while the trust’s systems were restored. He said: “Because there has been a data breach, we take that really seriously and we are working through that in a really systematic way.” The trust said no patient harm had been identified in either incident, and investigations are ongoing. A spokesperson for the trust said: “We have been open and have written to the patients affected by the data breach to inform them and provide reassurance. “We have notified the Information Commissioner’s Office and have been responding to their queries. “We take patient confidentiality very seriously, and we will ensure we take forward any relevant learnings that come out from these investigations.” Read full story (paywalled) Source: HSJ, 15 June 2026 -
Content Article
This report from the Men's Health Forum examines the role of community pharmacy in improving men’s health in the UK, the theme of Men’s Health Week 2026. The report sets out a five-point plan that pharmacies should adopt to become a male-friendly pharmacy, which encourages more men to engage. This report’s findings are Based on a survey from a UK-wide poll in 2025 exploring men’s evolving attitudes to health and pharmacy. The report highlighted the following key themes emerging from this: Privacy as a prerequisite: Without genuinely private, professional spaces, men are unlikely to open up. Environment and culture matter: Pharmacies often still feel feminised and transactional, deterring men from engagement. Trust is built through relationships: Men respond to respectful, non-patronising interactions and consistent positive experiences. Meet men where they are: Outreach in community settings and constructive engagement with online and AI-based health information are essential. Services, not sales: The future of community pharmacy might well lie in healthcare services commissioned by the NHS, not retail. -
Content Article
John Bradley Williamson was a spinal surgeon whose work later became the subject of investigations and reviews following concerns raised by former patients regarding surgical outcomes and complications. Many of his patients experienced long-term health problems, additional corrective surgeries, chronic pain, and lasting physical and psychological harm. The case has since received national media attention and prompted wider discussions around patient safety, oversight, follow-up care and how concerns are communicated to patients. Simon Wainwright, a former patient affected by the spinal surgery carried out by John Bradley Williamson, has lived with the long-term complications that have required multiple corrective operations across several hospitals. Simon reflects on the gap between the recommendations made in investigation reports and the realities patients face, and how patients like himself are often left to navigate the long-lasting complications largely on their own. Over the years, there have been formal reviews and reports into what happened to patients operated on by consultant spinal surgeon John Bradley Williamson, and many recommendations made.[1][2][3] Although these processes are important, there remains a gap between the recommendations written in these reports and the reality patients continue to experience years later. Although there are processes described on paper that sound reassuring, many patients still feel they are left to navigate ongoing complications, uncertainty and fragmented care largely on their own. One example of this is the concept of a “patient-initiated review.” A patient-initiated review essentially means that patients themselves are expected to come forward if they have concerns about the care or surgery they received. In theory, this sounds positive—giving patients the opportunity to come forward if they have concerns, ask questions or seek reassessment. However, in practice, it raises an important question: how will patients even know this option exists? Many patients are not routinely followed up long-term, may have moved areas or may not realise that the symptoms they are living with could be connected to a previous surgery. By relying on patients to initiate this themselves, without proactive communication and outreach, there is a real risk that affected patients remain unaware that support or review pathways are available to them at all. There is often an assumption that primary care services will help identify and support these patients, but the reality is more complicated. GPs may not have access to a patient’s complete historical surgical information, particularly when treatment occurred many years ago or across multiple hospitals. This means some patients can easily fall through gaps in the system unless there is a coordinated and proactive approach. For patients like me, the impact is not limited to a single procedure. It is ongoing—affecting physical health, independence, mental wellbeing, family life, the ability to work and live normally, and confidence in the healthcare system itself. In my own experience, the consequences did not end after the original surgery. I have required multiple corrective operations across different hospitals and continue to live with the long-term physical and emotional effects. What has been difficult at times is feeling that patients are expected to coordinate much of this themselves; patients are often left chasing information rather than being actively supported through the process. I would like to see genuine commitment to patient safety and learning, with communication clear, proactive and accessible. Patients should not have to discover reviews through the media, search online for information themselves, or rely on chance conversations to understand what support may be available to them. Affected patients should be directly contacted wherever possible, given clear information in accessible language, and offered appropriate long-term clinical and psychological support. This is not just about past events – it is about ensuring that patients are not left behind in the process of reviewing and learning from them. Real accountability is not just about producing reports. It is about ensuring patients feel informed, listened to and supported long after the headlines disappear. References tps://www.northerncarealliance.nhs.uk/about-us/nca-independent-report-previous-management-concerns-regarding-consultant-spinal-surgeon?q=%2Fabout-us%2Fnca-independent-report-previous-management-concerns-regarding-consultant-spinal-surgeon https://www.northerncarealliance.nhs.uk/application/files/5516/8985/5202/SPSLBR_Report_Final_060623_redacted.pdf Spinal-diagnostic-Final-report.pdf- Posted
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Community Post
Painful hysteroscopy
TJ71 replied to Claire Cox's topic in Patient stories
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I've just got home from my hysteroscopy appointment. I'd like to start off by saying that everyone I saw today was lovely and couldn't be faulted. That being said, it goes down as the most painful experience I've ever had. I went into the appointment thinking it would be a little painful but that I would be fine. I have a high pain threshold and I had taken two codeine tablets an hour before. The consultant injected a local anaesthetic into the cervix (relatively painless) and then proceeded with the camera. This was where things began to hurt. The consultant asked me several times if I was ok and did I wish to stop. I asked him to keep going as I really wanted to push through and get it done. When I saw on the screen that the camera was inside the womb, I thought the worst was over but I couldn't have been more wrong. I have a large submucosal fibroid which takes up most of the womb. As fluid was pumped in to make more space, the pain became unbearable. The camera was only able to advance a short distance before I couldn't take anymore and the procedure had to be halted. I am so cross with myself for not being able to push through the pain, but it really was on another level. I had a colonoscopy last year and refused the offered sedation. It was uncomfortable and a little painful, but nothing compared to today. I questioned this with the consultant, and he said that's completely different, a hysteroscopy is a much more painful procedure. My question would be, why then, is sedation the norm for a colonoscopy, but for a hysteroscopy (recognised as being much more painful) woman are told to 'just take a couple of paracetamol before you arrive'. I would be happy to never hear the word hysteroscopy again, but the consultant has booked me in to have the procedure under a general anaesthetic as he really wants to get a biopsy. In summary, the staff were amazing, and stopped the moment I said it was too much, but the procedure was incredibly painful and really shouldn't be downplayed by likening it to period pain that may need a couple of paracetamol...- Posted
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Building on some of the issues that I outlined in the blog, I've been working on a visual in an effort to conceptualise some of this “compassionate IPC thinking”. This was also inspired a little by a recent paper I read by Jennifer Collins and colleagues - a scoping review that explores the role of nursing care interventions in the prevention of non-device-associated healthcare-associated infections. As you can see - this is very much a work in progress but I think gets across the message and sometimes a visual can be better than many words. For those interested, the Collins et al paper can be found here, it's open access and starts to address some important issues: https://www.ajicjournal.org/article/S0196-6553(25)00707-2/fulltext -
Content Article
These two reports summarise findings from the National Commission into the Regulation of Artificial Intelligence (AI) in Healthcare’s research and engagement activities and call for evidence. The Commission’s purpose is to advise the Medicines and Healthcare products Regulatory Agency (MHRA) on improving its regulatory framework and to accelerate safe access to AI in healthcare and across the NHS. You can read a summary of Patient Safety Learning’s response to this call for evidence here. The work brought together evidence from patients and the public, healthcare professionals, industry, academics and wider health system stakeholders through public polling, surveys, stakeholder engagement, deliberative research, an open call for evidence, a public Ask Me Anything session and insights from the MHRA’s AI Airlock programme. Thorough analysis of this evidence, 10 key findings have been identified. The report summarises these as follows: 1. There is a clear call for a proportionate, lifecycle-based approach to regulation Stakeholders noted that the current framework, which is designed for more static medical devices, is not well suited to iterative and adaptive AI systems. Across groups, stakeholders called for a proportionate approach that is risk-based, considers patients’ safety and fairness, with clear practical guidance and addresses existing duplication and fragmented oversight. Stakeholders also underlined the importance of strengthening clinical evidence requirements, with strong support for enhancing post-market surveillance and improving coordination. With a more proportionate approach seen as essential for balancing innovation with patient safety. 2. There is strong consensus for significant regulatory reform Across respondent groups of healthcare professionals, healthcare providers and industry, most people said that the existing regulatory framework needed “significant reform” but did not need a “complete overhaul”. Amongst patients and the public, the number of respondents calling for “significant reform” and a “complete overhaul” were similar, with 34% asking for “significant reform”, and 35% for a complete overhaul. 3. There was broad consensus that AI systems will increasingly require continuous post-market surveillance and monitoring Several stakeholders highlighted the need to upgrade current approaches to post market surveillance and monitoring, so they are better suited to AI systems. There was strong consensus that performance and risk cannot be adequately assessed through one-off approvals alone but instead require ongoing, real-world oversight across the lifecycle. Through qualitative evidence, stakeholders called for a more continuous and ongoing approach which helps track performance, monitor safety, and manage compliance across the AI system lifecycle. They also suggested that upgraded approaches need to help manage performance drift, validate performance in real world settings, and track changes in performance over time. 4. Responsibility should be shared across the system, with each individual and institution understanding their essential role and responsibilities There was strong consensus that accountability should not rest with a single person or institution, with respondents favouring a model which better distributes liability across the lifecycle. Patients and members of the public called for a comprehensive approach to accountability that addresses current gaps, healthcare professionals stressed that clinical accountability should be maintained whilst healthcare providers emphasised the need for robust governance structures and clear organisational responsibility. Stakeholders also highlighted uncertainty in how roles, responsibilities, and liability are defined and applied in practice. There were differing views on where liability should sit when an AI system causes or contributes to harm. Some respondents believed that liability should sit with the healthcare professional using the AI system. Another group of respondents argued that liability should sit with the healthcare provider who deploys the AI system. Others suggested that liability should sit with manufacturers, given their role in developing the technology and then maintaining their AI system’s performance. Across responses, there was a consistent emphasis on the need for greater clarity and consistency in how liability is allocated. Many respondents called for structured approaches to distributing liability that reflect the roles of different actors, including manufacturers, healthcare providers, and healthcare professionals. Suggested approaches included shared or distributed liability models that apportion responsibility based on specific circumstances. Stakeholders noted that clearer and more consistent frameworks would help address uncertainty and support the safe use of AI systems in healthcare. 5. Human oversight and responsibility for clinical judgment should be retained There was strong consensus from respondents that AI systems should continue to augment the work of professionals and should not be fully responsible for clinical decision making. Patients and the public emphasised the importance of human involvement in their care, including expectations that clinical decisions involving AI should be checked and validated by a human clinician. Healthcare professionals and professional bodies highlighted the risk of over-reliance on AI outputs at the expense of professional judgement. Industry respondents were supportive of ‘human-in-the-loop' safeguards. 6. Transparency and explainability will be key for the ongoing deployment of AI systems The ability to easily understand how an AI system works and to interpret its outputs will be key for building trust, enabling deployment, and ensuring the safety of an AI system. Patients, public and professionals advised that explanations of AI system outputs need to be clear, and providers called for greater transparency in the procurement process for sourcing AI systems. Industry organisations commented on the need for clearer and more structured regulatory documentation. 7. Data access and use is central to the role of AI in healthcare moving forward Respondents to the Call for Evidence noted that healthcare data is simultaneously an enabler and a barrier to the development and deployment of AI systems in healthcare. Patients and public expressed strong concerns about current approaches to consent for data access and how data is used by commercial entities. Some respondents cited governance and compliance burdens and fragmented data infrastructure as key barriers to development and deployment. Industry respondents called for clear and robust frameworks for accessing data including shared data governance templates and clearer guidance on data standards. 8. There is a need for robust training and improved AI literacy The Call for Evidence found a clear view that robust, ongoing training and clear understanding of AI in healthcare is critical for safe adoption. Healthcare professionals highlighted the risks of a lack of AI-specific training can bring such as increased risk of automation bias. Healthcare providers called for more structured workforce training on AI moving forward. Industry respondents advised that training is also needed for individuals who oversee the governance of AI systems in healthcare. 9. There is a need to improve incident reporting and learning mechanisms There were widespread calls for standardised reporting mechanisms for AI systems. Patients and public called for greater transparency and accountability over where AI is involved in care, including clearer communication when things go wrong. Healthcare professionals raised concerns about underreporting of safety incidents in healthcare more broadly, noting that workload pressures are a significant contributing factor. Responses also suggested limited awareness amongst some healthcare professionals that the existing Yellow Card scheme already applies to medical devices, including AI enabled devices. Healthcare providers highlighted the operational challenges of implementing incident reporting consistently across different settings. Industry respondents called for clearer guidance on how incident reporting should work within AI specific post-market surveillance frameworks. Several respondents also proposed improvements to surveillance and monitoring approaches, including establishing a national reporting system for AI incidents and providing guidance for healthcare professionals on what to report. 10. Patient and public engagement, trust, and communication will continue to be key for the deployment of AI systems. Through the Call for Evidence, trust emerged as a core enabler of AI adoption in healthcare. Patients and the public called for consistent involvement, consent, and clarity over the role of AI systems, whilst professionals highlighted the need to take a proportionate approach to explaining how AI is being used to patients. Providers advised that clear and consistent transparency and communication frameworks are needed whilst industry respondents recognised that trust is key for the uptake of AI systems in healthcare.- Posted
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'Blame culture' and unsafe staff levels at NHS trust
Patient Safety Learning posted a news article in News
An NHS trust at the centre of a breast cancer care scandal had unsafe staffing levels and a "blame culture", inspectors have found. County Durham and Darlington NHS Foundation Trust (CDDNFT) was told it "must make immediate improvements" by the Care Quality Commission (CQC), following a series of inspections late last year. The watchdog found "standards of care had deteriorated" and staff said they were "actively discouraged from speaking up about concerns". The trust accepted the findings and said "significant work" had already been done to strengthen patient safety, improve services and support staff. Durham Police was already investigating whether any criminal offences had been committed before the report, after multiple failings in breast cancer services at the trust, including missed cancers and unnecessary mastectomies. CQC inspectors identified "significant and serious safety concerns" at surgery services at University Hospital North Durham, Darlington Memorial Hospital and Bishop Auckland Hospital in October. These related to safe staffing, escalation when patient health was deteriorating, record-keeping, and learning from incidents. CQC deputy director of hospitals in the North East, Chris Storton, said it was concerning staff "didn't feel listened to and had to repeatedly raise the same issues". Read full story Source: BBC News, 12 June 2026- Posted
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Wegovy weight-loss pills to be available for patients in UK to buy
Patient Safety Learning posted a news article in News
Patients in the UK will soon be able to buy the Wegovy weight-loss pill, the medicines regulator announced on Thursday. It is the first GLP-1 receptor agonist tablet for weight-loss to be approved by the Medicines and Healthcare products Regulatory Agency (MHRA), making the UK the third country to authorise the pills, behind the US and the United Arab Emirates. Before now, UK patients using the drug have had to use the injectable version. Emil Kongshøj Larsen, the executive vice-president for international operations at Novo Nordisk, the Danish multinational which makes the drug, said: “This is a landmark approval, making the UK the first country in Europe to approve Wegovy pill. We hope this approval supports increasing access to obesity care in the UK.” The pills, which contain semaglutide, are now approved for adults who are obese (BMI of 30 or above) or overweight (BMI of 27-30) and have at least one weight-related health condition. Until Wegovy tablets are approved by the National Institute for Health and Care Excellence (Nice), they will not be available on the NHS and eligible patients will have to get a private prescription. As with the injectable form, Wegovy pills have to be taken carefully. Patients need to take them whole with a sip of water on an empty stomach after fasting for at least eight hours, then avoid food or drink for at least 30 minutes. The most common side effects of Wegovy pills are gastrointestinal disorders including nausea, diarrhoea, constipation and vomiting. The MHRA said anyone experiencing a side effects should talk to their doctor, pharmacist or nurse and report it directly to the yellow card scheme. Read full story Source: The Guardian, 11 June 2026 -
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UK school leavers and new students to be offered meningitis B vaccine
Patient Safety Learning posted a news article in News
Teenagers in their final school year and young people starting university will be offered two doses of a vaccine to protect them against meningitis B, the government has announced. The one-off vaccination programme, which will begin in late July, comes after an unprecedented outbreak of meningitis B in Kent earlier this year along with clusters of cases in Dorset and Berkshire that, together, led to the deaths of three young people. While each group of cases involved different strains of MenB, all would have been covered by the vaccine, Bexsero. This is given as two doses at least 28 days apart, and protects against most strains of MenB bacteria, with experts noting the protection is thought to last at least six years. The vaccine will be offered to all young people in the UK born between 1 September 2007 and 31 August 2008 – teenagers of year-13 age in England and Wales or equivalent school years in Scotland and Northern Ireland – and people under 25 starting university or moving into some residential further education settings for the first time this autumn, including international students. The health secretary, James Murray, said: “The Kent outbreak and recent clusters indicate a possible change to the way MenB affects people. While we assess the latest evidence, we are acting now to help protect young people at highest immediate risk as they enter university and residential colleges this autumn.” Caroline Temmink, the director of vaccination at NHS England, said: “Those eligible will be contacted directly through the NHS app, by text and email, and for those under 25 starting university for the first time they will be able to book their appointment directly with available pharmacies.” Read full story Source: The Guardian, 12 June 2026- Posted
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‘Innovation freeze’ threatening NHSE AI plans
Patient Safety Learning posted a news article in News
NHS England has warned that it may be unable to lawfully deploy AI features on the NHS App from next year, due to incoming medical device regulation changes. A new entry on NHSE’s operational risk register, published last week, flags the risk of an “innovation freeze” in which the organisation cannot place new and updated software and AI medical devices into clinical use in a lawful manner from spring 2027. The freeze could delay key commitments in the 10-Year Health Plan, including plans for AI-led triage on the NHS App – central to the government’s ambition to give every patient a “doctor in your pocket”. It comes as draft amendments to UK Medical Device Regulations are due to be laid before Parliament, before being implemented in 2027. NHSE said that, as a developer of its own digital tools, it must meet the new conformity assessment and classification requirements as they come into force. It confirmed that services currently in use, including in the NHS App, remain compliant under current legislation. Read full story (paywalled) Source: HSJ, 10 June 2026- Posted
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Medical device makers have been rushing to add AI to their products. While proponents say the new technology will revolutionize medicine, regulators are receiving a rising number of claims of patient injuries. This Reuters Special Report investigates some of the hazards associated with AI-enabled medical devices, including errors in a navigation system integrated into a medical device used in ENT surgery, AI software used for prenatal ultrasound scans that misidentified fetal body parts and AI assisted heart monitors that failed to recognise abnormal rhythms. Issues with the capacity of the U.S. Food and Drug Administration (FDA) to review the flood of new AI-enabled medical devices are also raised, as well as concerns that the FDA's traditional approach to regulating medical devices may no longer be fit for purpose.- Posted
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The Contemporary Ergonomics & Human Factors 2026 contains the proceedings of the Chartered Institute of Ergonomics & Human Factors Annual Conference, which was held 27-29 April 2026 at the East Midlands Conference Centre, Nottingham, UK. The conference represents a diverse range of application areas across healthcare, rail, aviation, nuclear, construction, medical devices and more. Themes range across human factors methods and tools, human-AI teaming, wellness and inclusion, safe systems and human factors integration. -
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untilThis year’s Restraint Reduction Network Conference focuses on closing the gap between high-level restraint reduction guidelines and the reality of what people experience when they are distressed. Throughout the programme we will move beyond considering the ‘how’ of restraint and instead explore why distress happens in the first place, spotlighting the importance of nervous system regulation - understanding how and why a person responds to distress - and cultural inclusion. The conference will be of interest to professionals and practitioners working to reduce restrictive practices across health, social care and education. People with lived experience are warmly welcomed. Our line-up of lived experience speakers, practice leaders and academic experts will explore and share practical, evidence-based tools that help transform organisational culture and create environments where people’s safety is defined by belonging, rather than control and restraint. Delegates will also join practical, solutions-driven workshops, gaining tools and insights that can be applied across sectors, and in settings supporting people at every stage of life. Offering a truly hybrid conference experience, delegates can join us in-person in Newcastle or online via our conference platform, Cvent, giving them the flexibility to take part in the conference in the way that suits them best. Register -
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The law has always struggled to keep up with technological change. With AI, the pace of change is so rapid that this gap feels less like a step and more like a widening gulf. A recent White Paper, produced through a collaboration between the MPS Foundation, York University’s Centre for Assuring Autonomy, and the Improvement Academy at the Bradford Institute for Health Research, highlights how clinicians could find themselves exposed when their decisions are influenced by AI recommender systems. Such systems analyse patient data and suggest personalised treatment plans, diagnoses or medications. There are also concerns about who might be held liable in the event of a claim relating to AI scribes, automated documentation assistants, triage algorithms, and other forms of clinical decision support. These all share a common feature: they shape clinical reasoning, records, and workflows without taking autonomous responsibility for the outcomes. Under the current legislative framework, there is a risk that doctors could be held wholly liable if an AI suggestion turns out to be wrong and they have followed it. That’s because the existing product liability regime was never designed with AI in mind. This paper from Medical Protection aims to set out the challenges we expect clinicians will face, and the action policymakers can take now to make sure AI delivers benefits without leaving doctors unfairly exposed.- Posted
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