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To mark Learning Disability Week 2026, this episode of Voices for Safety explores a critical patient safety issue: the inequalities people with a learning disability face when accessing cancer care. Host Dr Louise Gorman speaks with Dr Oliver Kennedy, an NIHR Clinical Lecturer at the University of Manchester and a Medical Oncologist at The Christie NHS Foundation Trust, whose research uncovers stark inequalities across the cancer care pathway in the UK. Drawing on a large-scale NIHR-funded study of over 180,000 people with learning disabilities, Dr Kennedy explains how they are less likely to be referred for specialist tests, more likely to be diagnosed at a later stage, and around half as likely to receive treatment, resulting in much shorter survival times. Together, they explore why these gaps exist – from communication challenges and diagnostic overshadowing to systemic barriers in screening and treatment – and discuss what needs to change across prevention, diagnosis, and care to create a more equitable system. Released during Learning Disability Week 2026, this episode highlights the urgent need for more inclusive, accessible healthcare systems and the importance of ensuring everyone can receive timely, effective, and safe cancer care. Further reading on the hub: Top picks: Breaking down the barriers faced by people with learning disabilities

In this King's Fund analysis, Margot Kuylen and Dan Wellings consider the results of the Health Insight Survey and find that while waiting times have improved, for many the experience of waiting hasn’t. When asked how they would rate their overall experience of waiting for their hospital appointment, nearly half (46%) of respondents said it was poor. Crucially, this doesn’t just reflect dissatisfaction with the length of the wait. When asked in a separate question whether they were dissatisfied with the communication about their wait, a similar proportion (44%) of respondents said they were dissatisfied (a further 29% said they were neither satisfied nor dissatisfied and only 27% said they were satisfied).

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.

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. 

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.

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.