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My submission to the national review of clinical risk management standards DCB0129 and DCB0160 (September 2026)
D6683848afd4c6879d1d18be32d97e25Clive Flashman commented on Clive Flashman's article in Digital health regulatory bodies/standards/guidanceThanks PJ - yes, I'm interested to see what others think too....
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My submission to the national review of clinical risk management standards DCB0129 and DCB0160 (September 2026)
Content ArticleEarlier this year, NHS England ran a national review of the clinical risk management standards DCB0129 and DCB0160: the two standards that govern how health IT systems are assessed for safety before and during use.[1] In this blog, Clive Flashman, Patient Safety Learning's Chief Digital Officer, summarises his response to that review. His central argument is that the standards are the right instrument and should not be replaced, but that in practice they have been reduced to a documentation exercise completed to satisfy procurement. Three things would change that: Putting patients inside the framework rather than outside it. Connecting digital safety incident data to national learning through the Learning from Patient Safety Events (LFPSE). Giving clinical safety officers the time, authority and protection their role has never had.
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Reflections on the National Commission into the Regulation of AI in Healthcare recommendations
Content ArticleIn September 2026, the National Commission into the Regulation of AI in Healthcare published its recommendations to the Medicines and Healthcare products Regulatory Agency (MHRA) for a future regulatory framework. The report contains around 44 recommendations, including staged authorisations, a rebalancing of evidence towards the post-market phase and financial penalties for manufacturers who put patients at risk. In this blog, Clive Flashman, Patient Safety Learning's Chief Digital Officer, shares his personal reflections on this. He sets out the five recommendations he most strongly supports, and five gaps that need addressing before the cross-government response is published. One of the key gaps is that the Learn from Patient Safety Events (LFPSE) service does not appear anywhere in the report's 119 pages.
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Inaugural Patient Safety & AI workshop - for AI vendors, academics, researchers
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Patient Safety Learning and SilverBuck are delighted to announce the first Patient Safety and AI Workshop, designed for vendors of AI systems across health and care as well as academics, researchers and others interested in this domain. Format and venue The workshop takes place in London, with capacity limited to 50 attendees. A waiting list is now open - register your interest to secure a place. This is an in-person-only event: it will not be streamed on Teams and will not be recorded for future playback, ensuring open and candid discussion under Chatham House Rules. Schedule 13:30 - Registration 14:00 - 16:30 - Workshop 16:30 - 17:30 - Networking What to expect The session will introduce Patient Safety Learning and the new Networks being established on the hub, before turning to the critical issues at the intersection of patient safety and AI, and the opportunities these technologies present for improving patient safety. It will also cover the commercial opportunities available through these new communities, especially for vendors looking to sell into the NHS and private healthcare organisations. Attendees will be asked to help shape what comes next, exploring the proposed agenda for future quarterly online round tables, and identifying what outputs this emerging community should aim to produce as it becomes active. -
Inaugural Patient Safety & AI workshop - for buyers and users of AI
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Patient Safety Learning and SilverBuck are delighted to announce the first Patient Safety and AI Workshop, designed for buyers and users of AI systems across health and care. Format and venue The workshop takes place in London, with capacity limited to 50 attendees. A waiting list is now open - register your interest to secure a place. This is an in-person-only event: it will not be streamed on Teams and will not be recorded for future playback, ensuring open and candid discussion under Chatham House Rules. Schedule 09:00 - Registration 09:30 - 12:00 - Workshop 12:00 - 13:00 - Networking What to expect The session will introduce Patient Safety Learning and the new Networks being established on the hub, before turning to the critical issues at the intersection of patient safety and AI, and the opportunities these technologies present for improving patient safety. Attendees will also help shape what comes next, exploring the proposed agenda for future quarterly online round tables, and identifying what outputs this emerging community should aim to produce as it becomes active. -
Confidentiality Matters: Working Well with Family Carers of People Experiencing Acute Mental Health Crises
EventConfidentiality is frequently seen as a key barrier to clinicians working effectively with the family and friends of people experiencing a mental health crisis. This half day interactive course examines misconceptions about confidentiality and information sharing and offers suggestions for ways to develop your practice to offer more support and information to family and friends carers so that they are more confident about what they can reasonably do to keep their family member safe. We use the term family carers to mean anyone who is significant to the patient, including biological and non biological family and friends who may or may not live in the same household or even the same country. WHO SHOULD ATTEND This course is suitable for anyone working in Health and Social Care whose work brings them into direct contact with someone experiencing a mental health crisis. This includes psychiatrists, nurses, ED service leads, social workers, occupational therapists who have all benefitted from this training. Price: £234 More information and booking link here.
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Training for Healthcare Professionals to Offer Training about Working Well with Families of People Experiencing Acute Mental Health Crises
EventThere is a great deal of professional and statutory guidance that expects clinicians to involve the families of people during and following an acute mental health crisis. And yet, Coroner’s Prevention of Future Deaths reports, and investigations following homicides when the perpetrator had a diagnosed mental illness, regularly point to the lack of meaningful engagement of the family, the failure to listen to their views, experiences and needs, or to offer them support and information to keep their family member safe. Martha’s rule, which is to be extended to mental health services, will also require good working relationships with families. Making Families Count Life Beyond the Cubicle project was funded by NHS England (HEE South East Region legacy funds). The project’s resources were co-created with patients, family carers and clinicians, tested in eleven NHS Trusts, and independently evaluated. The resources have been shown to encourage clinicians to work well with family and friends in order to improve care, avoid harm and reduce deaths. This training is offered to support Trusts and social care agencies to embed effective working with family carers across their workforce. It is participative and interactive, and explores the key reasons clinicians find it challenging to work well with family carers, with time to share and explore good practice and share experiences of approaches taken to improve patient care and family involvement. The Life Beyond the Cubicle eLearning resources are available free to health and social care professionals via the NHS England eLearning platform. NHS Trusts can download the modules and upload them to their own Learning and Development system. WHO SHOULD ATTEND This course is suitable for anyone working in Health and Social Care whose work brings them into contact with people experiencing mental health crises, and whose role offers opportunities to facilitate group discussions and learning. Price: £354 More information and booking link here.
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Language and Communications: Understanding and Developing Effective Communications with Family Carers
EventGood and clear communication between clinicians, patients/service users and family carers are vital for establishing and maintaining effective working relationships that can keep people who are experiencing mental health crises safe. This interactive half day course uses audio and video case studies and scenarios to explore common barriers to effective communications and what can be done about them. We use the term family carers to mean anyone who is significant to the patient, including biological and non biological family and friends who may or may not live in the same household or even the same country. WHO SHOULD ATTEND This course is suitable for anyone working in Health and Social Care whose work brings them into direct contact with someone experiencing a mental health crisis. This includes but is not limited to psychiatrists, nurses, ED service leads, social workers, occupational therapists and peer support workers. Price: £234 More information and booking link here.
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Language and Communications: Understanding and Developing Effective Communications with Family Carers
EventGood and clear communication between clinicians, patients/service users and family carers are vital for establishing and maintaining effective working relationships that can keep people who are experiencing mental health crises safe. This interactive half day course uses audio and video case studies and scenarios to explore common barriers to effective communications and what can be done about them. We use the term family carers to mean anyone who is significant to the patient, including biological and non biological family and friends who may or may not live in the same household or even the same country. WHO SHOULD ATTEND This course is suitable for anyone working in Health and Social Care whose work brings them into direct contact with someone experiencing a mental health crisis. This includes but is not limited to psychiatrists, nurses, ED service leads, social workers, occupational therapists and peer support workers. Price: £234 More information and booking link here.
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Safety Planning: Working Well with Family Carers of People Experiencing Acute Mental Health Crises
EventThe new NHS England guidance Staying Safe from Suicide; confirms that risk cannot and should not be measured using risk scales, and that any such scales are dangerously misleading. A more helpful and hopeful perspective is to think about the safety of people who might at times feel suicidal. This includes engaging in collaborative safety planning with patients and their family carers. This interactive half day course uses video and audio case studies to examine why safety planning is so important, and explores practical ideas about how meaningful and feasible safety planning can be carried out with family carers. Price: £234 More information and booking link here.
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Safety Planning: Working Well with Family Carers of People Experiencing Acute Mental Health Crises
EventThe new NHS England guidance Staying Safe from Suicide; confirms that risk cannot and should not be measured using risk scales, and that any such scales are dangerously misleading. A more helpful and hopeful perspective is to think about the safety of people who might at times feel suicidal. This includes engaging in collaborative safety planning with patients and their family carers. This interactive half day course uses video and audio case studies to examine why safety planning is so important, and explores practical ideas about how meaningful and feasible safety planning can be carried out with family carers. Price: £195 & VAT (£234) More information and booking link here.
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Digital Health Rewired 2026
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Digital Health Rewired 2026 is the UK’s biggest digital health expo, bringing together everyone using digital and data to improve health and care. Held on 24-25 March at The NEC Birmingham, the event gathers NHS leaders, care providers, researchers, academics, start-ups, suppliers, and innovators to explore how digital technology supports productivity, equity, and better outcomes. With speakers, inspiring NHS case studies, and cutting-edge solutions, Rewired offers valuable learning and networking opportunities. Whether you’re shaping policy, delivering care, or building digital tools, Rewired is your chance to connect, learn, and lead in transforming health and care through digital innovation and collaboration. Register your place here. Find the full programme here. Follow updates via #Rewired26. -
NHS England: Patient Safety Event Data Quarterly Publication – Quarter 2 2025/26 (July to September 2025)
D6683848afd4c6879d1d18be32d97e25This is what i would refer to as meta data. It is data about the reports (data) that have been submitted. It really tells us very little about the actual incidents - type, who was involved, where they happened, etc. Frankly, it's not very useful at all in terms of understanding the composition of incidents in England.
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Copilot has arrived in the NHS — But no one told us how to fly it!
Content ArticleThis blog highlights confusion and anxiety among NHS staff following the rollout of Microsoft Copilot, which many learned about only after gaining access. In the first part, a Patient Safety Manager describes their panic on discovering that Copilot could see confidential files, with little guidance provided to them on what is safe or permitted. They felt NHS advice was vague and risk-shifting, leaving staff uncertain and exposed. Patient Safety Learning's Chief Digital Officer, Clive Flashman invited wider engagement on the issue, revealing inconsistent rollouts across Trusts and a lack of clear, practical support. A LinkedIn discussion drew major attention, prompting resource sharing and calls for stronger national coordination, clearer rules, and better training to ensure safe, confident use of AI tools. In the second part of this blog, Clive offers his insights on these issues, reflects on the wider response and shares some useful links.
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Avoiding nosocomial transmission - useful infographics from HSIB (October 2020)
Content ArticleA set of 5 infographics describing the the factors that influence the risk of nosocomial transmission of infections (such as Covid19), and how health and care staff can take action to manage the risks and reduce the infection rate. The factors explained are: People Equipment Task Environment Organisation