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18 November 2025
An After Action Review (AAR) is a facilitated discussion following an event to understand what happened and why. AARs involve key stakeholders involved in the incident and provide insight into how improvements could be made to help deliver safer care for patients. The AAR process emphasises the importance of a facilitated approach with all participants encouraged to work collaboratively to identify possible changes and improvements. AARs provide all participants with an opportunity to reflect and consider opportunities for self-learning.
AARs are gathering momentum within healthcare particularly since the approach was identified as one of the national learning response methods within NHS England’s Patient Safety Incident Response Framework (PSIRF) documentation. The workshop will commence by looking at a brief history of AAR across the globe and its recent transition as an approach to help healthcare teams better understand their patient safety incidents. The core part of the day will focus on the four questions involved in conducting an effective AAR and learners will be given the chance to put learning into practice by looking at relevant case studies and scenarios in small groups. The day will conclude with an honest assessment of AARs and consider the challenges and benefits of utilising this team approach in a healthcare setting.
This course is aimed at those who wish to lead and conduct AAR reviews plus those who are likely to take part in AAR investigations. The facilitators for this course will continue the journey beyond the course itself to support and enable you to develop your skills in AAR when you return to your organisation.
This masterclass will enable you to:
Understand history of AARs and why they are gathering momentum in healthcare. Appreciate what an AAR is and how it differs from other incident investigation methods. Identify when it is appropriate to conduct an AAR. Examine what skills effective AAR conductors require. Understand the four fundamental questions involved in conducting an AAR. Develop your AAR skills via a number of case studies and scenarios. Consider how human factors can play a part in the AAR process. Examine why AAR can be an effective mechanism for change and improvement. Discuss the strengths and weaknesses associated with AARs. Evaluate where you consider you can gain the most from undertaking AAR. hub members receive a 20% discount. Email [email protected] for discount code.
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18 November 2025
Training to support the development of expertise involving patients, families, carers and staff when things go wrong, in line with NHS guidance, based upon national and internationally recognised good practice. To include the duty of candour and ‘being open’ principles.
This course covers the end-to-end systems-based patient safety incident response based upon the new NHS PSIRF and includes:
Duty of candour regulations Being open and apologising when things go wrong Challenges/complexities associated with cases where there is more than one investigation Effective communication, including dealing with conflict and difficult conversations Effective involvement of those affected by a patient safety incident throughout the incident response process to ensure a thorough and richer investigation Sharing findings Signposting and support: including loss, trauma and stress WHO SHOULD ATTEND
Lead investigators conducting patient safety incident investigations Executive and service lead for duty of candour Executive and service lead for patient safety Executive and service lead for the supporting response to patient safety incidents Investigators supporting patient safety incident investigations FACILIATOR
Jo Perruzza is a former mental health nurse and has been a clinician, a clinical leader and a senior manager in mental health provider organisations. With a passion for patient safety and an expert in psychological safety she brings experience of leading internal and external investigations.
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hub members receive a 20% discount. Email [email protected] for discount code.
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18 November 2025
Please join the Professional Standards Authority’s annual conference on improving regulation through research.
This year, they’ve joined forces with with Professor Roberta Fida, Aston Business School, Aston University, and Professor Rosalind Searle, Adam Smith Business School, University of Glasgow.
The theme of the event will be Preventing harm: turning insight into impact. In an evolving health and care landscape there is an increasing recognition of the need to shift from reactive to preventative approaches in regulation. This conference seeks to contribute to that shift by harnessing insights from research to inform policy and practice. The event is for researchers, policy professionals, regulators, register holders, educators, healthcare leaders and anyone interested in improving regulation and registration for patient safety, public protection and public confidence, and how that can be achieved through research.
This collaborative event aims to bridge academic research with regulatory and policy practice to co-produce actionable knowledge. The event will help shape future research agendas, foster collaborations, and inform strategies for embedding prevention across regulatory practice. It will be complementary to the PSA’s current work on refocusing regulation which seeks to articulate what it means to shift the focus more towards preventative approaches, to create conditions in which care is safer and better, and harm less likely to occur.
Attendees are invited to choose from parallel sessions, as set out in the conference programme, and will need to indicate these upon registering. The conference programme can be viewed here.
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9
:00
18 November 2025 09:30 16:30
The Professional Standards Authority (PSA) is holding a research conference in partnership with Professor Roberta Fida, Aston Business School, Aston University, and Professor Rosalind Searle, Adam Smith Business School, University of Glasgow.
The theme of the event will be Preventing harm: turning insight into impact. In an evolving health and care landscape there is an increasing recognition of the need to shift from reactive to preventative approaches in regulation. This conference seeks to contribute to that shift by harnessing insights from research to inform policy and practice. The event is for researchers, policy professionals, regulators, register holders, educators, healthcare leaders and anyone interested in improving regulation and registration for patient safety, public protection and public confidence, and how that can be achieved through research.
This collaborative event aims to bridge academic research with regulatory and policy practice to co-produce actionable knowledge. The event will help shape future research agendas, foster collaborations, and inform strategies for embedding prevention across regulatory practice. It will be complementary to the PSA’s current work on refocusing regulation which seeks to articulate what it means to shift the focus more towards preventative approaches, to create conditions in which care is safer and better, and harm less likely to occur.
Register
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14
:00
18 November 2025 14:00 14:45
Join us for an exciting interactive webinar showcasing how Buckinghamshire Healthcare NHS Trust and Quantium partnered to develop the Quail product to radically improve patient safety and experience through generative AI.
Learn how Buckinghamshire managed to:
Uncover hidden patient safety and experience risks: AI-generated themes and trends operate across disparate data sources, to uncover issues that are currently missed or detected too late. Save 4+ FTEs in manual analysis: GenAI automates workflows (in line with PSIRF and LFPSE themes), such as document creation and action plan generation. Realise benefits in weeks, not months: deployment is through the Federated Data Platform (FDP) for a tried-and-tested user experience and rapid deployment. Who should attend:
CNOs/Deputy CNOs Associate Directors of Patient Safety / Risk Management / Patient Experience / Quality / Governance Risk system managers PALS, complaints and patient experience managers Register
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19
:00
18 November 2025 19:30 21:00
Please help set Making Families Count (MFC) agenda to work with families and friends who want to improve services. MFC are inviting you to a meeting to let you help to shape their plan for improvement and change.
Making Families Count (MFC) is a not-for-profit community interest company. Our purpose is to work in partnership with health and care agencies to support the development of safer, more compassionate care by improving collaboration with families.
As part of our new Strategic Plan, MFC intends to build a movement of seriously harmed or traumatically bereaved families who want to help to change how services are provided.
This serious harm or bereavement could have arisen in circumstances such as neglect, medical errors, adult children with learning disabilities who died in receipt of services, friends or family who died by suicide, (whether or not planned, and whether or not classified as suicide by a coroner),friends or family who died by homicide when the person who committed the crime was mentally ill.
We want more opportunities to tell our stories to health professionals and policy makers to influence change and improvements, and we want many more families and friends to be involved in MFC.
We very much hope you will want to be part of this movement.
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