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Patient Safety Learning

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Everything posted by Patient Safety Learning

  1. Content Article
    More information about "World Hand Hygiene Day 2026 resources (Australian Commission on Safety and Quality in Health Care)"
    This stakeholder kit supports the promotion of World Hand Hygiene Day, a WHO global initiative, on 5 May. World Hand Hygiene Day is a global initiative led by the World Health Organization (WHO) and is held on 5 May each year. You are encouraged to use these resources to raise awareness about how hand hygiene can help save lives by preventing the spread of infection. To support the WHO’s theme “Action saves lives”, the Commission’s overarching theme for World Hand Hygiene Day 2026 is: “Action saves lives – Safer care starts with clean hands”. By promoting World Hand Hygiene Day, you can help reinforce the importance of hand hygiene in preventing healthcare-associated infections.
  2. Content Article
    NHS England is repeatedly addressing the wrong problem in emergency care. This HSJ article argues that national policy focuses on A&E “front door” measures (diversion, metrics, corridor care management) rather than the true cause of long waits: a shortage of inpatient beds and poor patient flow out of hospitals.
  3. Event
    This course will explain and discuss the statutory duty of candour in principle, in practice, and in context, using real examples of good and poor practice. Openness, trust and good communication are at the core of the relationship between health and care professionals and their patients / families. But the duty of candour is widely misunderstood, and often misapplied, which can leave practitioners feeling exposed and patients / families feeling frustrated and, perhaps, push them towards other legal processes to get answers. This course will help attendees to understand the relationship between the statutory and professional duties of candour, in the wider context of the importance of good communication and the reasons why complaints and claims are made. We will look at each element of the legal test for a notifiable safety incident to trigger the duty of candour, and the next steps that are necessary, reflecting in particular on the importance of distinguishing fault and blame as irrelevant to the duty of candour. Examples will be given of regulatory consequences where the duty of candour has not been implemented appropriately and we will discuss the part of the duty of candour that requires an apology to be given, and consider the legal implications of this as well as good practice and examples to avoid where a poor apology has made things worse. Who should attend: Health and social care professionals, front line practitioners and managers, including those dealing with complaints and claims. Key learning objectives Understanding the importance of communication in a clinical context and the role of the duties of candour Appreciating the difference between the statutory and professional duties of candour The key elements of the statutory duty of candour for a notifiable safety incident, and the overarching duty to be open and transparent Understanding the process when the duty of candour is triggered Understanding the relationship between the duty of candour and fault / blame / liability The legal implications of an apology and what makes a good apology Register
  4. Event
    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 Register hub members receive 20% discount. Email [email protected] for discount code.
  5. Event
    This National Summit focuses on supporting staff to deliver good complaint handling and implementing and monitoring adherence to the PHSO National NHS Complaint Standards which are now being used and embedded across the NHS. Through national updates, practical case studies and in depth expert sessions the conference aims to improve the effectiveness of complaints handling within your service, and ensure that complaints are welcomed and lead to change and improvements in patient care. For further information and to book your place visit: https://www.healthcareconferencesuk.co.uk/virtual-online-courses/nhs-complaints-summit or email [email protected]. Follow on X @HCUK_Clare #NHSComplaints hub members receive 20% discount. Email [email protected] for discount code.
  6. Event
    This conference brings together hospice leaders, clinicians, and governance professionals to focus on improving patient safety in hospice care. It will explore best practice in creating and sustaining safe, high-quality services, alongside emerging developments shaping the sector, including the implementation of the Patient Safety Incident Response Framework (PSIRF) and the implications of the Assisted Dying Bill for hospice practice and governance. For more information: https://www.healthcareconferencesuk.co.uk/virtual-online-courses/patient-safety-hospices or email [email protected] Follow this conference on X @HCUK_Clare #PSHospices hub members receive 20% discount. Email [email protected] for discount code.
  7. Event
    This conference focuses on early diagnosis, reliable escalation, and effective management of suspected sepsis, alongside aftercare and reducing harm from delayed recognition. It will also look ahead to the Sepsis Modern Service Framework, expected to set clearer expectations and reduce unwarranted variation in outcomes. (NHS England, 28 Oct 2025) Delegates will be updated on the November 2025 NICE Guideline update, effective adherence to Martha’s Rule and the national PIER system to improve the management of deterioration supporting you to achieve early recognition, treatment and improve outcomes. Through national updates and expert case studies the conference will support you to lead sepsis improvement. For further information and to book your place visit: https://www.healthcareconferencesuk.co.uk/virtual-online-courses/sepsis-practice or email [email protected]. Follow the conference on X @HCUK_Clare #NHSSepsis hub members receive 20% discount. Email [email protected] for discount code.
  8. News Article
    NHS England has formally intervened over governance failures at a trust whose chair resigned after “exceeding her authority” by suspending its chief executive. NHS England told East Kent Hospitals University Foundation Trust it was taking action because of “leadership and board instability and the impact of recent events on the working relationship between the wider board members and the council of governors”. It was “imperative that a strong and stable board and executive leadership team [are] in place… to set direction, manage and respond to the range and scale of the issues currently faced”, according to a letter on Tuesday from regional director Anne Eden. NHSE told the trust to “ensure that the board is equipped with the right leadership skills, experience and capacity to oversee all elements of organisational governance, financial delivery, quality of care and operational delivery”. Read full story (paywalled) Source: HSJ, 29 April 2026
  9. News Article
    GPs waste half an hour every day navigating “clunky” IT systems that mean patients’ details get lost or bounced around between doctors, a survey suggests. The Royal College of General Practitioners said the NHS lost the equivalent of £410 per GP per day because doctors had to spend time on “avoidable” bureaucracy instead of seeing patients. Overall, GPs said they spent a quarter of their working hours on administrative tasks such as issuing sick notes or chasing information from other parts of the NHS. One of the biggest frustrations, according to the survey of more than 2,000 GPs, was the “inefficient” IT systems used for referring patients to hospital specialists for further tests. The college highlighted the loss of patient details and family doctors having to pick up the pieces. The report said: “The majority of GP participants reported spending 25-30 minutes per day completing tasks relating to a referral or follow-up activities, including manual data entry, re-issuing prescriptions and re-sending referrals, including those which had been lost, bounced back or rejected because of inconsistent and ‘clunky’ pathways.” GPs described having to act as a “safety net” for the rest of the NHS, dealing with follow-up work from the rest of the system and other “pointless” tasks creating a “hidden workload”. Read full story (paywalled) Source: The Times, 29 April 2026
  10. News Article
    A mental health trust discharged a patient without reviewing his risk level, a month before he went on to stab a man. Kent and Medway Mental Health Trust then carried out a “flawed” internal investigation, according to a Parliamentary and Health Service Ombudsman report published today. It comes amid ongoing response to the killing of three people in Nottingham by Valdo Calocane in 2023, who had also been in the care of mental health teams. The public inquiry about this incident is ongoing. Providers have been asked to review their services, and there are concerns about a lack of capacity. In the Kent and Medway case, the PHSO said the trust should compensate the patient’s mother, because caring for her 31-year-old son left her with lasting trauma. The man – who has not been named – was diagnosed with schizophrenia after the attack. He had been detained in hospital but was discharged in June 2020 to a community mental health team, who were responsible for assessing his risk and providing care. He was discharged by the trust in October 2020, without having had a face-to-face appointment since June, and without a risk assessment or care plan in place. The following month, he stabbed a man, who survived, and was later convicted and detained in a medium secure unit under the Mental Health Act. PHSO chief executive Rebecca Hilsenrath said: “It highlights the stark consequences of poor mental health care, not just for patients, but also for their families, carers and even strangers.” She said the patient’s mother endured a “frightening and distressing situation” for more than a year while her requests for help went largely unanswered, leaving her fearing for her safety. Read full story (paywalled) Source: HSJ, 30 April 2026
  11. Content Article
    A knife attack might have been prevented if the perpetrator had received better mental health care, an investigation by England’s Parliamentary and Health Service Ombudsman (PHSO) has found.  In November 2020, a 31-year-old man stabbed a man in his thirties, just one month after being discharged from the care of Kent and Medway NHS and Social Care Partnership Trust, now called Kent and Medway Mental Health NHS Trust. He was arrested and later detained under the Mental Health Act. After the attack he was diagnosed with schizophrenia.   The Parliamentary and Health Service Ombudsman (PHSO) found a series of failings by the Trust in the 12 months leading up to the stabbing. These included poor care planning and discharging the patient without reviewing his risk level.  The Ombudsman concluded that these failings might have contributed to the man’s mental health decline. Had he received safe and appropriate care, the stabbing might not have occurred.  PHSO has repeatedly raised concerns about systemic failings in mental health services. In 2024, the Ombudsman published a report highlighting failures in transferring people with mental health conditions out of services. The report found failures in planning, communication, and continuity of care, and called for services to be more holistic, joined up, and person-centred. 
  12. Content Article
    Partnership working between Consultant Specialists and GPs is front and centre to the Government’s commitment to move patient care closer to home. Pre referral advice and guidance supports integrated care and peer to peer learning as well as service improvement. General Practices across the country already support advice and guidance pathways, which are intended to help to ensure patients receive care in the right place at the right time. However, advice and guidance pathways have workload implications for both general practice and secondary care. This document from NHS England gives more information about General Practice Requests for Advice and Guidance (A&G) pathway.
  13. News Article
    A non-invasive scan for endometriosis has shown promising results in a trial, boosting hopes for far quicker diagnosis. The trial, which included 19 women with the condition, suggests that an experimental radiotracer, called maraciclatide, can “light up” endometriosis on a scan. The current need for a surgical investigation is seen as a major obstacle to timely diagnosis, with women in England typically waiting nearly a decade. Prof Krina Zondervan, head of department at the Nuffield Department of Women’s and Reproductive Health (NDWRH) at the University of Oxford, and co-lead on the study, said: “The most prevalent subtype of endometriosis currently evades reliable detection, leaving women no choice for diagnosis other than invasive surgery. If these results are confirmed in larger phase 3 studies, imaging with maraciclatide could transform clinical research and practice and potentially empower the development of treatments for women across the globe.” Research by the charity Endometriosis UK suggests women in England currently wait an average of 9 years 4 months – rising to 11 years for women from ethnic minority communities. Wes Streeting, the health secretary, highlighted the problem in the government’s renewed Women’s Health Strategy, earlier this month. Endometriosis can progress, leading to more severe physical symptoms and restricting the ability to make informed choices around fertility. Read full story Source: The Guardian, 29 April 2026
  14. Content Article
    From 6 April 2026, Section 51 of the Mental Health Act 2025 has come into force, and if you are an independent provider of NHS-funded mental health inpatient services or s.117 aftercare services, this change directly affects you. Independent providers delivering these services are now definitively classified as "public authorities" for the purposes the Human Rights Act 1998. That means clearer legal obligations, greater scrutiny from the CQC, and direct exposure to human rights claims and judicial review challenges. Are your policies, governance frameworks and insurance arrangements ready? Read this brief from Bevan Brittan to understand what has changed, what it means for your organisation, and the steps you, and your commissioners, should be taking now.
  15. Content Article
    How do you create a strong foundation of primary and community care in neighbourhoods? The King's Fund brought together senior leaders from across health and care in England and Singapore to discuss the shift to population health, prevention and neighbourhood-based health and care.
  16. News Article
    A common knee surgery for cartilage damage does not benefit patients and may lead to worse outcomes, a 10-year trial suggests. The study tracked outcomes for patients treated for a meniscus tear, who were given a partial meniscectomy, one of the most common orthopaedic surgeries. Their trajectories were compared with patients who had randomly been assigned to receive “sham surgery”, in which no procedure was carried out. Patients who had undergone the surgery, which involves trimming frayed meniscus tissue, did not appear to benefit and scored worse on a range of measures designed to measure knee function, pain and progression of symptoms. Prof Teppo Järvinen, an orthopaedic surgeon and researcher at the University of Helsinki who led the study, said: “Our findings suggest that this may be an example of what is known as a medical reversal, where broadly used therapy proves ineffective or even harmful.” “We now know that these meniscal tears are very frequently found in patients with no symptoms,” said Järvinen. “Over the past 20 years, evidence has accumulated to suggest that most of these findings on MRI are purely incidental.” Read full story Source: The Guardian, 29 April 2026
  17. Content Article
    More information about "Top picks: 9 resources to support people with hearing loss or deafness"
    The UK Council on Deafness created Deaf Awareness Week to increase the visibility of challenges the deaf community face and educate others on how they can support them. Patient Safety Learning has pulled together 9 useful resources shared on the hub to help healthcare professionals, friends and family communicate and support people with hearing loss or deafness. 1 Royal College of General Practitioners: Deafness and hearing loss toolkit This educational kit, developed by Royal College of GPs (RCGP) in collaboration with RNID and NHS England, aims to support GPs to consult effectively with deaf patients by offering tips on how to communicate during face to face and remote appointments. It offers guidelines on how to recognise early symptoms of hearing loss and how to refer patients for a hearing assessment. 2 Communicating with patients with hearing loss or deafness—Can you hear me? The authors of this JAMA article describe the experience of a family member who was in critical care, and who is deaf. They outline a lack of awareness amongst healthcare professionals about their relative's deafness and highlight the lack of understanding in how to communicate with her. They go on to outline a number of approaches to communicating with patients who are deaf or hard of hearing. 3 Inequalities and unreasonable adjustments: are D/deaf women being given a detrimental care pathway in the name of risk assessment? In this article, published in The Practising Midwife, Rachel Crowe argues that in the UK, pregnant women who are hearing impaired or D/deaf (sign language users) and deaf (who are hard of hearing but who have English as their first language and may lipread and/or use hearing aids) are often labelled as high risk and offered a care pathway that is unsuitable and detrimental to their care. This article provides an overview to the needs of D/deaf birthing people with a number of recommendations and tools for use in clinical practice. 4 Blog - 12 tips for communicating with deaf patients Communication barriers are the number one reason deaf people have poorer health compared to hearing people. This blog by the organisation SignHealth gives 12 tips for healthcare workers and non-clinical staff on how to communicate with deaf people. It also describes the difficulties deaf people face when booking appointments and describes why remote consultations are problematic for deaf people. 5 CardMedic: Empowering staff and patients to communicate across any barrier In this interview, anaesthetist Rachael Grimaldi tells us about CardMedic, the organisation she founded to empower staff and patients to communicate across any barrier. Rachael explains how their tools can be used to support vulnerable groups and reduce inequalities. 6 Accessible and inclusive communication within primary care: What matters to people with diverse communication needs The primary care team have an important role in making people feel welcomed, listened to and taken seriously. Yet we often hear examples about people who have not had their communication needs met within primary care. This includes people with sensory impairments. This report from National Voices sets out the key issues faced by people with specific communication needs within primary care and what they feel would make the biggest difference, as well as key actions primary care leaders and teams can take to support inclusive communication. 7 Independent Review of Audiology Services in Scotland In January 2022 the Scottish Government asked for an independent review of the audiology services in Scotland in the context of failings in the standards of care provided in the NHS Lothian Paediatrics Services and made a series of recommendations. 8 The Safety Gap: Safety and accessibility of medicines and medical devices for people with sensory impairment This report for the Patient Safety Commissioner for England, commissioned from Professor Margaret Watson, highlights serious gaps and deficiencies in the way that people with visual and/or hearing impairment or loss (referred to as sensory impairment) are able to access and use medicines and medical devices safely. The report presents the results of a short-term study to explore the challenges experienced by patients with sensory impairment in relation to their safe and effective access to and use of medicines and medical devices and offers a number of recommendations. 9 Kingdon review: terms of reference Dr Camilla Kingdon has been appointed by the Secretary of State to chair an independent review of children's hearing services. The review will consider NHS England’s response to the service failures in paediatric audiology; how the relevant governance arrangements between NHS England and the Department of Health and Social Care could be improved and identify lessons learned; and how NHS England’s handling of any future service failures in similar services could be improved and identify lessons learned. Do you have a resource you'd like to share? We’d love to hear about it - leave a comment below or join the hub to share your own post.
  18. Content Article
    The Betsy Lehman Center's 2025 Annual Report highlights continued progress on the Roadmap to Health Care Safety for Massachusetts, a first-in-the-nation strategic plan to propel investment, action and transformative change across the Commonwealth’s healthcare continuum. The report highlights programmes to support safety efforts in provider organisations and new initiatives to improve data collection and transparency. 
  19. News Article
    Stress from racism and deprivation could explain why black women are more likely to die during childbirth, a study has found. Researchers reviewed 44 existing studies that examined three physiological pathways associated with worse pregnancy outcomes: oxidative stress, inflammation, and uteroplacental vascular resistance, and found black women had higher levels of the three metrics. Such physiological differences are not the result of genetic differences, according to the researchers, but rather suggest that socioenvironmental stressors such as systemic racism and deprivation, which are known to have a measurable biological effect, may influence the body’s ability to function healthily during pregnancy. Grace Amedor, of the University of Cambridge, the first author of the peer-reviewed study published in the journal Trends in Endocrinology and Metabolism, said: “Pregnancy and childbirth put great stress on a woman’s body. Black women may experience additional strain due to factors including systemic racism, socioeconomic disadvantage and environmental stressors. “During pregnancy, this strain may affect key biological processes in ways that increase the risk of conditions such as pre-eclampsia. I was surprised that although this disparity had been known for a long time, there was little research into the potential underlying physiological reasons. “It’s important that we don’t stop trying to tackle the root causes that lead to worse pregnancy outcomes in black women, which are the socioeconomic disparities and the systemic racism they can experience throughout their lives.” Read full story Source: The Guardian, 29 April 2026
  20. News Article
    Thousands of stroke victims are being denied access to a crucial, life-altering treatment, a charity has warned. The Stroke Association has highlighted "stark inequalities" in whether patients receive a thrombectomy – a procedure that removes a blood clot from a blocked blood vessel in the brain. Getting this treatment in the hours after stroke symptoms start can save a person’s life or reduce the risk of life-long disability, as it reduces brain damage caused by a clot. Analysis by the Stroke Association reveals that 1,222 patients missed out on a thrombectomy between October and December last year, despite the procedure needing to be carried out within the first 24 hours. The charity attributes these disparities to the fact that some parts of the country lack access to round-the-clock thrombectomy services. NHS plans, introduced in 2019, had set ambitious targets to expand thrombectomy provision from just 1% to 10% of stroke patients, predicting this would enable 1,600 more individuals to live independently each year. But the Stroke Association said that this critical target remains unmet Read full story Source: The Independent, 29 April 2026
  21. News Article
    After going through two devastating miscarriages, Lisa Varey could not believe what she was thinking. She knew she would have to miscarry again before she could get the help she needed. Only when you have had three miscarriages do you normally qualify for specialist NHS help in England. One in five pregnancies end in miscarriage, most before 14 weeks. After her second miscarriage, Lisa was invited on to a pilot project at Birmingham Women and Children's Hospital, which experts believe will prevent thousands of miscarriages every year by offering earlier checks and advice. As part of the project, women who had suffered one miscarriage were given a one-to-one consultation with a specialist nurse to discuss lifestyle changes - including reducing alcohol consumption and giving up smoking - and using the hormone progesterone, which can help prevent miscarriage. After a second miscarriage, women were tested for anaemia and abnormal thyroid function, which can affect pregnancy outcomes. They were also offered early scans to reassure them the pregnancy was advancing normally. Following a third miscarriage, the pathway joins up with what the NHS currently offers - including a referral to a recurrent miscarriage clinic, further blood tests and a pelvic ultrasound. Tests showed Lisa would benefit from taking the hormone progesterone to help maintain her pregnancy and a regular aspirin tablet to increase the chances of a healthy birth. Lisa is now pregnant and in the last weeks of her second trimester. She breaks down in tears as she speaks about how much difference the project's help has made. "There's so much support for pregnant women, but it didn't always feel like there was any support for women who were no longer pregnant. We're having to go through that journey of just feeling very sad." Professor Arri Coomarasamy, head of miscarriage research at Tommy's, says the three miscarriage wait is an unacceptable anomaly. "We don't do that with any other medical condition. If somebody has a heart attack, we don't say have your third heart attack and then we will see if there is anything we can do," he says. He says the findings of the study, if rolled out across the NHS, could also save the NHS money. The pilot suggests the extra costs of staff and training are outweighed by the money saved having fewer women miscarry. Read full story Source: BBC News, 29 April 2026
  22. Content Article
    Sepsis, life-threatening acute organ dysfunction due to infection, is a global health priorit with approximately 49 million cases and 13 million sepsis-related deaths each year. Beyond being acutely deadly, sepsis contributes to new and worsened physical, cognitive, and mental health problems in many survivors. Early identification and treatment are critical to improving outcomes. The Surviving Sepsis Campaign (SSC) guidelines are intended to support clinicians caring for adult patients with sepsis, focusing on management in the hospital, the immediate prehospital setting, and the immediate post-hospital setting. These guidelines incorporate principles of antimicrobial stewardship through responsible antimicrobial use, proper diagnostic strategies, and de-escalation of antimicrobial therapy. The recommendations reflect evidence-based best practice, distilling a large body of research into actionable recommendations. They empower individuals and health systems to make informed choices about care and support improvements in management and outcomes of sepsis. Further reading on the hub: Spotting the signs of sepsis: a series of short videos Top picks: 13 resources about sepsis
  23. News Article
    The Medicines and Health products Regulatory Agency (MHRA) has advised healthcare professionals to stop supplying the affected batch of Sertraline 100mg and return all remaining stock to their suppliers. Amarox Limited is recalling one batch of Sertraline 100mg film-coated tablets as a precautionary measure due to a manufacturing error that led to two antidepressant medicines being packaged incorrectly.  The recall follows a patient complaint which helped identify that a pack of Sertraline 100mg film-coated tablets contained one blister strip of Citalopram 40mg film-coated tablets inside the sealed carton.   Sertraline and citalopram are both selective serotonin reuptake inhibitors (SSRIs) used to treat depression, anxiety disorders, and related mental health conditions by boosting brain serotonin. Both SSRI medications are produced by the same manufacturer, at the same site, and the error appears to have occurred during secondary packaging of the blister strips into the cartons.   Patients who believe they have already taken any Citalopram 40mg tablets by mistake or are experiencing side effects, are advised to seek medical advice immediately. Read full press release Source: MHRA, 28 April 2026
  24. Content Article
    Safety-II is a new approach to patient safety that is characterised by learning from work that goes well, including learning from success and work-as-done. Practical tools to facilitate this learning are starting to emerge within healthcare patient safety practices. In absence of a systematic review of such learning tools, the aim of the study was to provide an overview of strategies and tools for healthcare professionals to learn from work that goes well in healthcare patient safety practices. The review shows a growing number of practical Safety-II tools, which may help understand and learn from the constant adaptations made by healthcare professionals every day to keep patients safe
  25. Content Article
    More information about "Speaking up for patient safety: Rebecca Wight in conversation with Peter Duffy and Helen Hughes"
    In this podcast interview series, NHS whistleblower Peter Duffy and Patient Safety Learning’s Chief Executive Helen Hughes explore how the healthcare system responds when its staff raise concerns about patient safety. In each episode, Helen and Peter interview someone who has spoken up about patient safety issues in healthcare organisations, or who works to help staff raise concerns where they see unsafe care. In this episode, Helen and Peter speak to Rebecca Wight, a nurse consultant practitioner. Rebecca talks about her time at the The Christie, a cancer treatment centre in Manchester, and what happened to her when she tried to raise patient safety concerns about a colleague. Despite escalating these concerns to management and clinical leadership, Rebecca reported being ignored, having her concerns dismissed as a personal attack, and facing a "brick wall" from leadership. Rebecca reflects on the toll the process took on her and her family, her experience of going through an employment tribunal and why there needs to be more support for people who raise concerns within their organisation. Subscribe to our YouTube podcast to keep up to date with the latest episodes. Transcript of the interview Read a blog from Peter and Helen about the interview series

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