Patient Safety Learning
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Content ArticlePatient Safety Learning posted an article in Medicines and Healthcare products Regulatory Agency (MHRA)The Medicines and Healthcare products Regulatory Agency (MHRA) regulates medicines, medical devices and blood components for transfusion in the UK. This roundup provides a summary of their latest safety advice for medicines and medical device users. It includes details of medicine recalls, medical device field safety notices and details of how to report drug reactions and device incidents.
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Content Article
When most people think about epilepsy, they imagine dramatic convulsive seizures that are immediately recognisable as a medical emergency. However, not all seizures look like this. Some can be subtle, brief and almost invisible to the untrained eye. In this blog, Madeline Bolton-Smith, an epilepsy patient advocate, shares her experience of epilepsy as a child and suggests three patient safety lessons that could help reduce some of the unnecessary emotional harm that many young people with epilepsy experience. -
Content ArticleAmbient voice technology (AVT) has been met with initial enthusiasm from staff across the NHS and social care. Leaders piloting AVT have emphasised that staff are excited to try a technology that could improve working conditions and patient care by reducing documentation burden and cognitive load. Following several large-scale pilots, there are now national expectations for widespread rollout in the NHS and local systems are rapidly procuring AVT tools. Currently, most users are doctors, but interest in AVT extends to nurses, pharmacists, physiotherapists and social care staff. The promised benefits span clinician experience, administrative burden, patient experience, productivity and cost. This means the market is potentially very large, as is the potential impact. But the NHS has been here before with promising technologies that are delivered unevenly with benefits that are at best minimal and at worse never materialise. To do better this time, AVT will need to be scaled safely and optimised in a deeply resource‑constrained environment. This King's Fund long read explores how the NHS can maximise the benefits of AVT. It synthesises insights from a roundtable with patient representatives and NHS and industry experts, a review of research reports, and individual conversations with NHS staff and leaders.
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News article
The American Red Cross has declared the second-ever national blood supply crisis after blood donations fell to a four-year summer low. On Monday, the 145-year-old non-profit said that as the United States’ largest single provider of blood products, it now has less than one-day national supply of type O positive blood – the most commonly transfused blood. Type O positive blood accounts for about 60% of the ARC’s blood distributions and is used across everyday patient care as well as medical emergencies. It can be given to about 80% of patients, according to the ARC. “Despite thousands of people answering the call to give, blood donations are not keeping pace with hospital demand – which is up during the summer trauma season. Extreme heat, poor air quality and widespread foodborne illnesses are contributing to lower donor turnout this summer, further straining the nation’s blood supply,” the ARC said, appearing to refer to the cyclosporiasis outbreak that is suspected to have affected more than 11,500 people across the US. Just three additional donors at each blood drive this summer can end the crisis and stabilize the blood supply, according to the ARC, which also stressed the need for a strong supply of every blood type. “When hospitals have adequate supplies of A, B and AB blood, they can provide patients with blood that matches their blood type whenever possible. This preserves type O blood for patients with type O blood and for life-threatening emergencies, when there isn’t time to determine a patient’s blood type,” it said. Read full story Source: The Guardian, 30 July 2026 -
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NHS England has told trust boards to take direct responsibility for the safety of AI scribe technology, as national regulatory standards for the tools are lowered. A joint letter from NHSE and the Medicines and Healthcare products Regulatory Agency, sent to trust and integrated care board leaders this week, sets out 18 items which “boards and executive teams should assure themselves [are] in place”. They cover oversight and accountability, local governance, staff training and awareness, risk management, and commercial procurement. Among the specific requirements are ensuring clinicians review and approve all AI-generated outputs before they are used in patient care, and that “appropriate professional judgement is maintained”. “Clear lines of accountability” must be in place for any decisions informed by Ambient Voice Technology, the list says. It instructs organisations to make sure staff “receive appropriate training on the capabilities and limitations of AVT”. It comes as the MHRA has this week published guidance stating that some AVTs in healthcare will no longer be classed as a medical device. Read full story (paywalled) Source: HSJ, 30 July 2026 -
Content ArticleThe NHS is increasingly using ambient voice technology (AVT) to improve the quality and experience of patient care, reduce administrative burden, improve productivity and support frontline staff. The guidance has been developed with input from NHS clinicians and patient safety advocates and provides greater clarity on how AVT products are regulated. It reflects the National Commission into the Regulation of AI in Healthcare’s recommendation for a clear, risk-proportionate approach. The 10 Year Health Plan and Life Science Sector Plan set ambitions for a new regulatory framework that supports the NHS to become the most AI-enabled health system in the world. The new guidance confirms that some AVT products solely intended to transcribe and summarise clinical conversations, draft correspondence or suggest clinical codes for review by a clinician are not to be regulated as medical devices under the current regulatory framework (MDR 2002). The guidance also confirms that AVT products intended to support diagnosis, treatment and automated clinical actions are regulated as medical devices and remain subject to the relevant regulatory requirements. A joint letter from NHSE and the Medicines and Healthcare products Regulatory Agency, sent to trust and integrated care board leaders this week, sets out 18 items which “boards and executive teams should assure themselves [are] in place”.
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Content ArticleNHS England’s announcement of an accelerated rollout of AI promises a future of shorter waiting times and better care for millions of patients. With a £10bn investment over three years, this is a major programme intended to deliver around half of the commitments in the 10 year plan and to generate £41bn in total benefits. Much of the gain is expected to be delivered through a new AI triage tool on the NHS app and through AI tools based on ambient voice technology. However, accelerated rollout of AI should be matched by transparent, credible evaluation, supported by the right infrastructure, writes Mary Dixon-Wood in this BMJ opinion piece.
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News article
Staff at a major acute trust described a “nepotistic culture” in which poor behaviour went unpunished, a review into how it handled staff concerns has found. The review at East Kent Hospitals University Foundation Trust found its organisational culture did not encourage staff to raise concerns, and that they lacked confidence these would be addressed. It reported “fragile” confidence in speaking up, and a lack of triangulation when concerns were raised. It was carried out by Helen Buckingham, chair of patient and user charity National Voices, and a former director in local NHS organisations and NHS Improvement. Several interviewees told her of a “nepotistic culture”, where those who fitted in or had the support of important individuals progressed. Board members were frustrated by a lack of consequences for poor behaviour, the review found. In some cases, consultants who raised concerns had been placed under investigation. And the Freedom to Speak Up service “effectively collapsed in early 2024”, with no FTSU reports recorded for the entire year. The trust’s board said they found it difficult to triangulate staff concerns with other information. Read full story Source: HSJ, 31 July 2026 -
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The NHS has scrapped a longstanding scheme that let overseas doctors boost their skills in UK hospitals and was seen as an example of British “soft power”. Senior doctors have criticised NHS England’s decision to axe the Medical Training Initiative, under which 400 to 500 foreign-trained doctors were given placements in Britain every year. The MTI is known in the NHS as “earn, learn and return”. It enabled medical graduates from low- and middle-income countries such as Pakistan, Sri Lanka and Nepal to spend up to two years in the health service enhancing their skills, making them better doctors when they went home. The UK’s medical royal colleges are aghast at the unexpected and “abrupt” axing of a programme they say helped not just the medics but the NHS and their home countries. It had cost NHS England just £176,000 to fund each year and has given thousands of overseas doctors a chance to work in the UK since it was set up in 2011. Some fear it will exacerbate the already acute shortage of doctors across an NHS that relies very heavily on international graduates, who comprise two-fifths of all its medics. Read full story Source: The Guardian, 31 July 2026 -
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A troubled trust has revealed a backlog of more than 100 incidents requiring “high-level” safety investigations, as an external report warned of a “nothing to see” attitude towards governance. Some 113 investigations were “closed without proper investigation”, with 428 incidents still “open”, board papers for Medway Foundation Trust suggest. Executives warned they had been forced to seek external help to tackle some of the backlog. Most of the incidents, which the trust says require investigations or further action under the Patient Safety Incident Response Framework, were in medicine and emergency care. The Trust is also having to carry out duty of candour processes for 59 cases where there was no or insufficient evidence that patients had been contacted, which it said was a “serious governance concern”. Some of these dated back to 2024. In a strongly worded report to the board, its quality assurance committee said there were “significant governance and safety concerns requiring urgent attention”, and that the trust needs to move from “identification of issues to demonstrable improvement”. The board papers also reference an external review carried out by Steve Lennox, a former chief nurse and improvement director, which suggested some staff in the governance team had a “nothing to see” approach to potential patient safety cases. Read full story (paywalled) Source: HSJ, 30 July 2026 -
Content ArticleNew evidence on inequalities in NHS waiting times in England.
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In February, Public Policy Projects (PPP) hosted its annual Patient Safety Forum in partnership with Patient Safety Learning. Held at the Royal College of Surgeons of England in London, it was attended by senior healthcare leaders, patient safety experts, representatives from the HealthTech industry, frontline healthcare professionals and patients. To share the insights and conversations that emerged from and beyond the day itself, Patient Safety Learning has published a series of blogs (links to blogs below) following this year’s event. From artificial intelligence (AI) and productivity, to culture, systems and the patient voice, this series evidences the breadth of knowledge, energy and experience in the room. Helen Hughes, Chief Executive of Patient Safety Learning, reflects on the series of blogs and the Patient Safety Forum that shed light on some of the key challenges in patient safety today. -
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Every day, frontline staff identify opportunities to improve patient care, but many of these ideas never progress beyond individual teams. This practical 30 minute session explores how NHS organisations can create the conditions where everyday insight becomes meaningful organisational improvement. Attendees will learn: Why improvement programmes lose momentum, How to capture and act on frontline insight, Practical ways to strengthen continuous improvement. Lessons from a real NHS case study. Five questions every Improvement team should ask. Register -
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Overview Use thematic analysis to identify cross-cutting safety themes and support PSIRF learning and improvement. Thematic analysis for patient safety learning Organisations increasingly need to learn not only from individual incidents, but from the wider patterns that emerge across complaints, claims, risks, audits, and other sources of safety intelligence. This specialist course provides a practical introduction to thematic analysis for patient safety learning, helping teams identify recurring themes, common contributory factors, and system-level risks across multiple data sources. The course from Promethean Human Designs is designed for organisations that want to strengthen how they use safety information to support learning, improvement, and decision-making. Rather than treating incidents in isolation, participants will explore how to bring together dispersed intelligence and turn it into useful insight that can inform PSIRF planning, governance discussions, service redesign, and proactive improvement priorities. This is a practical and applied course. Participants will be introduced to structured approaches for reviewing data, identifying themes and subthemes, coding information, distinguishing meaningful signals from noise, and presenting thematic findings in a way that supports action. Whether your team is carrying out cross-cutting reviews, preparing material for governance meetings, or looking to strengthen organisational learning from safety data, this course will provide useful methods and frameworks to support more strategic patient safety work. Why this course matters Healthcare organisations are under increasing pressure to make better use of the safety information they already hold. Incidents, complaints, claims, risks, audits, and other data sources often contain important patterns — but these can be missed if information is reviewed in isolation. This course helps teams: improve the quality of thematic reviews identify recurring risks and contributory factors generate stronger cross-cutting learning support more strategic patient safety discussions strengthen how safety intelligence informs improvement priorities By developing a more structured approach to thematic analysis, organisations can move towards more proactive, system-focused patient safety learning. Intended audience This course is suitable for: patient safety specialists governance and risk teams quality improvement leads divisional governance staff service managers clinical leaders involved in learning from safety information staff responsible for reviewing or synthesising incidents, complaints, claims, risks, or related intelligence across departments or services You do not need to be a qualitative research specialist to attend. The course is designed to be practical, accessible, and directly relevant to organisational safety work. What the course covers Participants will explore: what thematic analysis is and when to use it moving from single-event learning to cross-cutting insight working with incidents, complaints, risks, audits, claims, and other data sources identifying themes, subthemes, and recurring contributory factors using structured approaches to coding and synthesis distinguishing signal from noise presenting thematic findings in ways that support decision-making linking thematic learning to PSIRF, governance, and improvement priorities Learning outcomes By the end of the course, participants will be able to: describe the purpose and value of thematic analysis in patient safety work use a structured approach to identify patterns across multiple sources of information develop clearer thematic findings that support organisational learning translate themes into improvement priorities, action planning, and governance discussion contribute to more strategic and proactive approaches to patient safety learning Tailoring and follow-up The course can be tailored to local governance structures, incident themes, or improvement priorities. Optional follow-up support can also be provided, including: support with live thematic reviews development or refinement of coding frameworks facilitated interpretation sessions for safety teams help translating findings into governance and improvement actions Register -
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Masterclass from Promethean Human Designs on designing stronger safety actions and turning learning into measurable, sustainable improvement. The course is designed for staff involved in PSIRF implementation, learning responses, safety action development, service redesign and quality improvement. It provides a deeper understanding of how different actions address different contributory factors, task demands and system conditions, helping teams move beyond weak or superficial recommendations towards actions that are more robust, realistic and sustainable. This course is relevant to both reactive learning after incidents and proactive improvement work, including pathway redesign, risk reduction activity and wider service change. Participants will explore practical methods for designing stronger actions, evaluating proposed interventions, anticipating implementation challenges and linking safety learning to improvement planning and governance. Ideal for organisations that want to strengthen the quality of action plans, improve governance oversight, and build a clearer link between investigation outputs, improvement planning and sustainable change. Why this course matters to organisations Helps teams move from identifying learning to designing stronger actions Improves the quality and credibility of action plans Supports better governance, oversight and implementation Strengthens the link between incident learning, improvement planning and sustainable change Builds confidence in designing responses that are more likely to be effective, feasible and lasting Who should attend? Suitable for clinical and non-clinical staff involved in: Patient safety Governance Quality improvement Incident response Service redesign Operational leadership This includes: Clinicians Managers Patient safety specialists Governance leads Quality leads It is helpful, though not essential, for participants to have completed introductory Human Factors or PSIRF training beforehand. Topics covered Task analysis Human reliability analysis and error classification Hierarchy of controls Action evaluation and review Designing stronger versus weaker actions Anticipating implementation challenges and unintended consequences Linking safety actions to improvement planning and service change By the end of the course, participants will be able to: Apply human reliability concepts to understand work as done and identify meaningful intervention points Select and design stronger safety actions using the hierarchy of controls Evaluate proposed actions for likely effectiveness, feasibility, sustainability and unintended consequences Translate learning from incidents, risks and near misses into practical quality improvement actions Contribute more confidently to action planning, governance discussions and PSIRF learning responses Tailoring and follow-up Case studies and exercises can be tailored to local: PSIRF priorities Action plans Improvement challenges Optional follow-up can include: Action review clinics Applied coaching Case-based learning Support with embedding action design into governance and quality improvement processes Participants receive: A certificate of completion A 30-minute post-course support call Register -
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Promethean Human Designs Practical PSIRF training to lead proportionate, systems-based learning responses to patient safety events. This two-day practical practitioner course is designed for staff who lead or support PSIRF-aligned learning responses and need the knowledge, structure and confidence to respond well to patient safety events. The course focuses on how to scope and structure proportionate learning responses, gather and synthesise information, apply Human Factors and systems thinking, and produce clear outputs that support learning and improvement. Participants will explore practical tools and methods that strengthen incident response practice and help build a more confident, consistent and proportionate organisational approach to PSIRF. Through practical exercises and case-based learning, participants will build confidence in using PSIRF documentation and methods, facilitating swarms and After Action Reviews, developing coherent accounts of what happened and why, and engaging effectively and compassionately with staff, patients, carers and families. This course is ideal for organisations that want to strengthen the quality of learning responses, improve the quality of outputs and actions, and build practitioner capability in incident response and organisational learning. Why this course matters to organisations Builds practitioner capability for staff leading or supporting PSIRF learning responses Improves the consistency and quality of incident response practice Strengthens the quality of outputs, actions and organisational learning Supports a more proportionate, confident and structured approach to patient safety incident response Helps organisations embed Human Factors and systems thinking in learning and improvement activity Who should attend? This course is designed for practitioners who will lead or support learning responses under PSIRF, including: Patient safety specialists Governance and risk leads Quality improvement leads Senior nurses Clinical leaders Operational managers Other clinical and non-clinical staff involved in incident response and learning Best suited to participants who already have a basic grounding in Human Factors and systems thinking. Topics covered Human Factors and systems thinking for incident response Work as done, Safety-II, and drift to failure The NHS patient safety landscape and the place of PSIRF within it PSIRF tools and documentation for scoping and planning responses Systems tools for learning, including SEIPS and timeline mapping Learning response methods, including swarms and After Action Reviews Information gathering, interviewing skills and multidisciplinary approaches Involving patients, carers and families, including Duty of Candour Writing clear, decision-useful outputs Additional analytical methods, including task analysis and human reliability analysis Just culture, psychological safety and authority gradients By the end of the course, participants will be able to: Lead PSIRF-aligned learning responses using proportionate approaches Apply Human Factors and systems thinking to understand how system conditions shape risk Use PSIRF documentation and methods to plan, scope and structure a response Facilitate swarms and After Action Reviews effectively Use systems tools to develop a coherent account of what happened and why Gather stronger evidence through effective engagement and interviewing Involve patients and families appropriately and compassionately Produce clearer, more useful outputs that support improvement Promote a just, learning-focused culture during and after patient safety events Tailoring and follow-up Examples and activities can be adapted to the organisation’s incident profile, governance arrangements and priority safety themes. Participants receive: A certificate of completion A 30-minute post-course support call Register -
Content ArticleThe Health Services Safety Investigations Body (HSSIB) engaged with a wide range of stakeholders, including clinicians and national leads, to learn more about the issues surrounding learning from patient safety events in mental health settings and to identify areas on which an investigation could focus to help improve patient safety. People with a mental health condition often suffer from poor physical health, for a variety of reasons. This investigation set out to understand how deterioration of patients’ physical health is monitored in a mental health inpatient setting, and how staff respond if a patient’s physical health deteriorates. Evidence from stakeholders suggested that greater insight into the challenges faced at an organisational level would be helpful. To support NHS organisations and local investigation staff, HSSIB identified an opportunity to model approaches to patient safety incident investigations (PSIIs) under the Patient Safety Incident Response Framework (PSIRF). Stakeholders told HSSIB this would help to increase local learning and provide examples of how PSIRF tools can be used to improve investigations. HSSIB has also used this opportunity to identify learning that may help improve how PSIRF can support staff in carrying out incident investigations. This investigation has used the PSII report template and PSIRF tools to investigate the physical health deterioration of an inpatient in a low secure mental health setting. Findings and areas
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News articleThe sisters of a man strangled to death on a mental health ward by another patient have described the healthcare system for people with severe psychotic illness as "inadequate, misguided and plain wrong". An inquest into the death of Richard Laversuch, 63, found on Wednesday he was unlawfully killed by Owen Herbert, then aged 18, at Parklands Hospital, Basingstoke, in 2021. Multiple "failures" by heath staff were identified by the inquest jury. "They just don't recognise how serious psychotic illness is," Richard's sister, Bridget Ryan, told the BBC. Hampshire and Isle of Wight Healthcare NHS Foundation Trust apologised to the men's families and accepted responsibility for its failures. Hampshire coroner Nicholas Walker said Richard's death was "utterly avoidable". "It has to change," her sister Cathy Laversuch agreed, "otherwise there will be more deaths, more terrible things happening and more heartbreak for more families." She added: "Something went wrong at every single stage, so it's not a safe system and can lead to catastrophic consequences." Read full story Source: BBC News, 30 July 2026
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A life-saving blood pressure medication taken by millions is in short supply forcing pharmacies to ration prescriptions. Ramipril is a prescription medication used to treat high blood pressure, heart failure and lower the risks of strokes. It works by relaxing and widening blood vessels to allow blood to flow more easily. But the medication, which is taken by about 6 million people in the UK, is in critical supply and health chiefs have put the pills under a “serious shortage protocol” (SSP), which limits patients to just one month's supply of the drug until 30 October. Pharmacists have called on the government to change official guidance so they can offer patients an alternative drug without consulting their GP. “Millions of patients rely on Ramipril and although there are alternative medicines available, supplies of these must be managed carefully by the government to ensure subsequent demand can be met,” Olivier Picard, chair of the National Pharmacy Association said. "The government should allow pharmacists to make appropriate substitutions to Ramipril prescriptions to ensure patients do not have to go back to their GP to find an alternative,” he added. Read full story Source: The Independent, 29 July 2026 -
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Ministers will look at how much can be saved from NHS budgets by improving adult social care before increasing taxes to fund the reforms, Andy Burnham has said. The prime minister gave a speech in north London today to make several social care announcements. This included launching a “big conversation” public engagement, led by Baroness Louise Casey, which will consider setting out different options for a National Care Service and how to pay for them. The PM also revealed that Baroness Casey’s social care review, which began under Sir Keir Starmer, will now report within the next year, rather than in 2028 as had been planned. However, asked after the speech whether government can realistically transform care without raising taxes, Mr Burnham argued: “It is possible from existing budgets to do much more. “I mentioned… people [are] coming into hospital unnecessarily from social care settings, then having a long length of stay in hospital as a result of that unnecessary admission, and then a long period where they’re medically fit to leave but can’t, because the care is not available.” He quoted the annual cost of delayed discharges linked to social care at £2.5bn, and said: “If you add all of it up you are talking [about] several billion pounds a year [that] is lost from the lack of a preventive front-end social care service that’s well supported.” The PM added: “Before we talk about tax rises [we] first have to look the public in the eye and say, ‘are we doing everything we can do from within what we’ve got?’” Read full story (paywalled) Source: HSJ, 29 July 2026 -
Content ArticleRelying on patients to advocate for themselves will widen inequalities in gynaecological care, writes Stephanie O’Donohue in this BMJ opinion piece. Self advocacy is often framed as empowerment, a positive act, a sign of confidence, or a way for patients to take control of their care. But many people don’t self advocate because they feel empowered, they do it because experience has taught them they must. We need to critically examine why healthcare systems often require patients to be assertive about their care and be honest about the toll of this expectation.
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Content ArticleReviews of maternity services have repeatedly exposed poor-quality care and unacceptable failures during pregnancy and childbirth. Improving maternity services and ensuring that timely, high quality, compassionate and safe care is the norm must become an urgent NHS priority. However, much more needs to be done if the UK is to improve maternal and infant outcomes and tackle the persistent inequalities that contribute to its poor international ranking on maternal and infant outcomes.
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News article
The number of "never events" at the largest health board in Wales more than doubled in a year, according to its latest report. Never events are serious, largely preventable patient safety incidents that should not happen if national safety guidance is followed. Betsi Cadwaladr University Health Board (BCUHB) logged 11 never events in 2025-26, increasing by six compared with the previous year. The health board with the second-highest total recorded seven incidents. The report said the level of "avoidable harm" remained a "serious concern" for the health board, which is "committed to ensuring ongoing improvements". Examples of never events can include operating on the wrong part of the body, leaving surgical instruments inside a patient after an operation or administering medication by the wrong route. The report said investigations focused on identifying system and process failures rather than individual blame, so "meaningful learning" can be achieved. "Where required, immediate actions are taken to protect patient safety while investigations are completed," the report added. It said the board had a "clear commitment to strengthening systems and learning to support a continued reduction in never events" and hopes to achieve zero never events in 2026-27 and future years. Read full story Source: BBC News, 28 July 2026 -
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This Shared Insights session, explores the legal framework for assessing mental capacity and consent in complex cases involving disputes about care and residence. Whether your organisation is navigating the new definition of a deprivation of liberty, managing disputes about life-sustaining treatment, responding to patients who refuse care on religious grounds, or grappling with the growing complexity of self-neglect - understanding the current legal landscape has never been more important. During this interactive session, we will share best practice when managing disputes about care and treatment. You will gain a clear, practical understanding of the legal framework for caring for individuals who may lack capacity to make decisions about their treatment or residence. It will work through real-life case studies illustrating how these principles play out in practice - including the implications of the Supreme Court decision in Agni overturning Cheshire West - to provide practical guidance you can take back to your team and apply straight away. The session will be chaired by Browne Jacobson partners Rebecca Fitzpatrick and Victoria Colclough, who will provide expert legal analysis and guide discussion with our panel: Emma Sutton KC from Serjeants’ Inn Chambers, who appeared on behalf of the Official Solicitor in the recent landmark Supreme Court ruling (AGNI) which has reshaped deprivation of liberty law in health and social care. Marilyn Whittle, Legal Services Director, Sheffield Children’s NHS Foundation Trust. Richard Colley, Hospital Liaison Committee for Jehovah’s Witnesses, Sheffield. Shared Insights from January 2025 | RSVP Prefill 15 September 2026 -
Content ArticleDespite the hard work of caring staff, patients, particularly older people, get ‘stuck’ in hospitals, and the systems and silos in healthcare conspire to make this worse. This website is about the most valuable currency in healthcare – patients’ time. By focussing on the last 1000 days, the aim is to help draw attention to where time is wasted, what could be done differently and to share some examples of successes. Time really is the key; if you are against the clock, trying to get several things actioned, looking at when various services are open, competing for theatre slots, investigation times or outpatients appointments, there is rarely enough time. On the other hand if you, or one of yours, is waiting for any of the above it’s very easy to lose precious days.
