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  1. Past hour
  2. Event
    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
  3. Event
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    Lord 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
  4. Today
  5. 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. 
  6. Community Post
    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.
  7. News Article
    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
  8. News Article
    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
  9. News Article
    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
  10. News Article
    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
  11. 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.
  12. 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
  13. Yesterday
  14. Community Post
    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...
  15. Last week
  16. Content Article Comment
    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
  17. 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.
  18. News Article
    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
  19. News Article
    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
  20. News Article
    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
  21. News Article
    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
  22. Content Article
    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.
  23. Content Article
    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.
  24. Event
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    This 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
  25. Content Article
    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. 
  26. Content Article
    Patient transfers accounted for nearly half of falls events reported to ECRI in a new analysis, underscoring how routine patient movement activities can create major safety vulnerabilities.  The latest data analysis from the ECRI and the Institute for Safe Medication Practices Patient Safety Organization (PSO) shows that patient transfers, toileting and ambulation-related falls are the most common event types. About 30% of falls reported involved patients under 65 years old, challenging the assumption that fall prevention is solely or exclusively an issue for older adults. Data findings When falls happen: Patient transfers, toileting, and ambulation—all routine, necessary care activities—collectively account for more than 85% of reported falls.Transfer is by far the highest risk moment, accounting for nearly half of all falls (45.3%). Toileting is the second most common trigger at 30.7%, while falls occurring during ambulation accounted for 9.4%. Transfer-related falls were defined as those that involve patient movement from one surface or location to another, such as between a bed, chair, stretcher, or wheelchair. Ambulation-related falls occurred while patients were walking or moving through care environments, with or without assistance, including in their hospital room or hallway. Which patients are at risk: Falls are not limited to older patients. Working-age adults (18–64) represented the largest single age group in this analysis, accounting for 29.3% of falls events. This is a reminder that fall risk assessment and prevention protocols, especially in acute care settings, should not overlook younger adults. Where do most falls occur: In this data snapshot, falls are overwhelmingly concentrated in acute care facilities (68.1%) such as hospitals. Falls were also reported across post-acute care facilities like nursing homes, rehabilitation centres, home health, ambulatory care behavioural health, and cancer centres. This is somewhat a reflection of the membership base of the ECRI and ISMP PSO, which includes more acute care hospitals and health systems than nursing homes and post-acute care facilities. Power of reporting: The analysis demonstrates the importance of detailed event reporting. More than 9,000 of the reports were noted as ‘near-misses’ or unsafe conditions (rather than serious events or incidents of harm), which reflects ongoing efforts to encourage reporting. Organizations that collect and analyse near miss events are given insight into conditions, workflows, and processes that could lead to harm and more importantly an opportunity to prevent harm. Large “unknown” categories within fall location and patient age suggest an opportunity to better capture this information to strengthen organisations’ ability to fully understand risk patterns and identify opportunities for improvement.
  27. News Article
    The US has recorded more than 2,000 confirmed measles cases so far this year – near the total of 2,228 recorded in all of 2025, and on track to become the worst year for measles in decades as states struggle with the loss of federal funding for public health. The virus continues to spread in unvaccinated and under-vaccinated communities, including among babies too young to be vaccinated, and it reveals the depths of the twin crises of misinformation and public health in the US. The US recorded 2,030 cases on 4 June, though experts believe the true number is about three times higher. Cases in Utah appear to be winding down, while cases in Virginia and Pennsylvania appear to be picking up. “I think it’s going to be a busy summer,” said Andrew Pavia, a George and Esther Gross presidential professor at the University of Utah who spoke in his personal capacity as an infectious disease expert. Utah has shown a new side of the outbreak. “What makes Utah different than South Carolina and Texas is that it spread throughout the entire state and became much more widely distributed,” Pavia said. Even so, there were two factors that made a difference in whether cases were contained, Pavia noted: “It hit hardest in communities that had relatively low vaccination rates and relatively limited public health departments.” Read full story Source: The Guardian, 10 June 2026
  28. News Article
    The NHS is treating nearly 3,000 sick patients a day in corridors, cupboards and cafes because emergency departments are overwhelmed, new figures have revealed. Data published for the first time has laid bare the scale of the NHS’ “corridor care” crisis, which experts warn has become “normalised” within the health service and is leaving patients being treated without “privacy or dignity”. More than 2,200 patients received care in a corridor of an A&E department every day in May, the data shows, while another 669 patients were treated in other inappropriate settings such as cupboards, cafes or toilets due to a lack of beds in emergency departments. Any patient who spends 45 minutes or more in areas deemed as clinically inappropriate – such as hallways or waiting rooms – are considered to have experienced corridor care, according to the NHS. Other examples of areas used include car parks, waiting rooms and toilets. The NHS’ corridor care crisis has been well-documented, with reports of patients dying while waiting for care. Diabetic patients have been left for hours without food, while other sick patients have said they were left on broken beds in pitch-black corridors for 24 hours with no privacy, according to a review of patient care in emergency departments in December by the group Healthwatch England. Speaking after the figures were released, health secretary James Murray said: “Corridor care is unacceptable, undignified and has no place in our NHS.” He said the new data aims to “shine a spotlight” on where the problems are greatest and stressed the “vast majority” of corridor care is in a small number of organisations. But one expert warned that corridor care had been “normalised”. Siva Anandaciva, director of policy at The King’s Fund, said patients are routinely being treated “without privacy or dignity.” Read full story Source: Independent, 11 June 2026 Further reading on the hub: Corridor care improvement guide: A summary guide to support services to reduce corridor care Corridor care and long waits: what are people experiencing in A&E? Corridor care guidance needs to move beyond what “should” happen and grapple honestly with why it isn’t How corridor care in the NHS is affecting safety culture
  29. Content Article
    This update presents statistics from the Learn from Patient Safety Events (LFPSE) service, a national NHS system for the recording and analysis of patient safety events that occur in healthcare. The LFPSE definition of a patient safety incident is something unexpected or unintended has happened, or failed to happen, that could have or did lead to patient harm for one or more person(s) receiving healthcare. This report shares the patient safety incident data from January to March 2026. Count of Event Types in LFPSE – based on patient safety event records from January to March 2026 LFPSE brings the feature to record patient safety event types beyond incidents. Recorders can also upload patient safety risks, outcomes and instances of good care. This is to ensure the database contains more instances of care that the healthcare system can learn from instead of only detailing errors involving patients. In this period, 829,300 events were recorded to LFPSE, the majority of which were recorded as patient safety incidents (96.96%). Count of patient safety incidents by maximum physical harm – based on patient safety incident records from January to March 2026 Sometimes a problem in care can affect more than one patient, or none at all. To capture this, as a new feature of LFPSE, recorders can submit information for multiple patients per incident, meaning there can be multiple degrees of harm per incident. For the following figure and table NHS England have taken the highest harm level per incident. NHS England identified and removed 64,223 incidents where the number of patients affected was unknown. Preliminary analysis suggests that these records likely represent incidents with no patients involved. NHS England will continue further data quality checks to validate these figures. During this quarter, 739,846 incidents had recorded a degree of harm. The majority of these incidents (94.2%) recorded low or no physical harm to patients. LFPSE has a new variable for grading of the psychological harm associated with the recorded patient safety incidents. This is an experimental field which seeks to explore if responses to safety incidents need to be different if psychological harm is considered separately from physical harm, rather than rolling them together into one measure, as was done in the National Reporting Learning Service (NRLS). Currently, there is low confidence in the grading of psychological harm, as users familiarise themselves with its use, and as such, it is excluded from this report. Related reading – previous quarterly data publications NHS England: Patient Safety Event Data Quarterly Publication – Quarter 3 2025/26 (October to December 2025) NHS England: Patient Safety Event Data Quarterly Publication – Quarter 2 2025/26 (July to September 2025) NHS England: Patient Safety Event Data Quarterly Publication – Quarter 1 2025/26 (April to June 2025) NHS England: Patient Safety Event Data Quarterly Publication – Quarter 4 2024/25 (January to March 2025) NHS England: Patient Safety Event Data Quarterly Publication – Quarter 3 2024/25 (October to December 2024)
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