Everything posted by Sam
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Fixing today, building tomorrow: delivering cancer care now and for the future
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Lord Darzi’s independent investigation into the NHS in England delivered a stark assessment of cancer care. Highlighting the gap between policy and reality, it found that the NHS is failing to meet some of its most important commitments, with core cancer waiting time standards missed for more than a decade and survival rates lagging behind comparable countries. The government’s 10-year National Cancer Plan for England sets out bold ambitions to improve survival, boost early diagnosis, and deliver more equitable, patient-centred care. With ambitious targets set for 2029 and 2035, the key question remains: can the NHS deliver these commitments while still fixing today’s pressures? At this pivotal moment, leaders across the health and care system face the challenge of building cancer services that are not only fit for today, but ready to adopt the next wave of innovation. Progress is already visible in areas, but translating national ambition into consistent, real-world improvement for patients will require co-ordinated action across the system. This conference brings together leaders from cancer alliances, policy, clinical services, commissioning, and the VCSE sector to explore what is working, and what must change, to turn plans into practice. Register -
Thematic analysis of the concerns identified in completed investigations from 2020 – July 2024: Identifying key themes and using data to inform future safety priorities (East London NHS Foundation Trust)
Content ArticleIn alignment with the implementation of the Patient Safety Incident Response Framework (PSIRF), East London NHS Foundation Trust conducted a comprehensive five-year analysis of reported incidents. This review analyses 411 completed investigations of serious incidents (SIs) and patient safety incidents (PSIIs) reported in the Trust from 2020 to July 2024. With patient safety as a top priority, this analysis examines whether key issues identified in these investigations have shown recurring patterns over time.
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NHS England case study: Patient entrapment in beds, bed rails and related devices (23 July 2024)
Content ArticleThis case study is one in a set of patient safety ‘how we acted on patient safety issues you recorded’ case studies which show the direct action taken in response to patient safety events recorded by organisations, staff and the public, and how their actions support the NHS to protect patients from harm.
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3rd World Patients Conference
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The 3rd World Patients Conference is WPA’s flagship global hybrid event, bringing together patient leaders, policymakers, healthcare professionals, academics, civil society, and industry stakeholders from around the world. The conference aims to empower patient leaders through training, knowledge exchange, and networking, while advancing patient-centred policies through engagement with policymakers and global institutions. It will also showcase best practices and innovations from patient organizations worldwide, foster multi-stakeholder dialogue, and strengthen WPA’s global network and membership engagement. The programme will feature plenary sessions, high-level panels, workshops, patient leadership training, and networking opportunities. Register -
Digital health and AI conference 2026: building an AI-enabled health and care system that works for people
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AI and digital technologies are already reshaping health and social care. AI tools are being developed, tested and used in areas such as imaging, triage, risk prediction and workforce support, yet the pace of change can make it hard to understand what is working, what is still in development or needs more testing and the implications for people using services. The NHS 10 Year Health Plan aspires to a future where AI is seamlessly integrated into most clinical pathways, and the Medium Term Planning Framework reinforces this focus by accelerating implementation, scaling and national roll out of digital technologies. This will require attention to the practicalities of implementation and scale, not just pilots or technical breakthroughs, and services designed with people and communities at their heart. Although there are promising examples of AI improving care and easing pressure on staff, progress is uneven. Many parts of the system continue to struggle with basic infrastructure challenges – unreliable devices, unstable connectivity and fragmented data – that hold back the potential for AI to improve health and care services. For digital services to be truly inclusive, they must also serve the populations they are designed for, work as expected and be trusted by both users and staff. This year’s King's Fund Digital health and AI conference will cut through the noise to explore what it really takes to build an AI‑enabled health and care system that works for people – grounded in evidence, lived experience and the realities of the health and care system today. It will examine where AI and digital technologies are already adding value, where they are falling short, and what needs to change in leadership, culture, infrastructure and practice to unlock meaningful and sustained impact. Through case studies, discussion and hands‑on collaborative sessions, you’ll hear from those implementing AI today, and explore what trusted, inclusive and effective digital journeys could look like in the future. Throughout the day, it will dive into these issues through a series of sessions across three themes: people first, collaborate and learn, and innovate. digital health and AI in 2026: what’s real, what’s next and what’s at stake what developments in AI mean for consumer health and the workforce? leading digital and AI change in constrained and complex systems Innovators and investors in conversation: unlocking innovation and transformation ambient AI: is it leading to less admin, more people centred care? hack the future – a mini hackathon tackling real‑world challenges can the UK lead on safe, inclusive health AI? Register -
Practical thematic analysis: a guide for multidisciplinary health services research teams engaging in qualitative analysis (BMJ, 8 June 2023)
Content ArticleQualitative research methods explore and provide deep contextual understanding of real world issues, including people’s beliefs, perspectives, and experiences. Whether through analysis of interviews, focus groups, structured observation, or multimedia data, qualitative methods offer unique insights in applied health services research that other approaches cannot deliver. However, many clinicians and researchers hesitate to use these methods, or might not use them effectively, which can leave relevant areas of inquiry inadequately explored. Thematic analysis is one of the most common and flexible methods to examine qualitative data collected in health services research. This article offers practical thematic analysis as a step-by-step approach to qualitative analysis for health services researchers, with a focus on accessibility for patients, care partners, clinicians, and others new to thematic analysis. Along with detailed instructions covering three steps of reading, coding, and theming, the article includes additional novel and practical guidance on how to draft effective codes, conduct a thematic analysis session, and develop meaningful themes. This approach aims to improve consistency and rigor in thematic analysis, while also making this method more accessible for multidisciplinary research teams.
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HLTH Europe
EventHLTH Europe 2026 is the continent’s largest healthcare innovation conference, bringing together over 5,000 attendees from more than 50 countries. The event focuses on digital health, health tech, life sciences, and healthcare system transformation, providing a platform for decision-makers, innovators, and specialists to explore trends, solutions, and collaborations in European healthcare. The conference features a comprehensive programme, including: Keynotes and panels on healthcare IT, patient data exchange, AI in healthcare, interoperability, mental health, healthy ageing, and system change. Workshops and presentations led by industry leaders and experts. Networking opportunities with healthcare providers, policymakers, investors, pharmaceutical companies, tech companies, hospitals, and start-ups. Exhibition zones such as the Start-up Village, Investor Lounge, Policy Pavilion, and the NL Health~Holland Pavilion showcasing Dutch health tech innovations. Agenda Clive Flashman, Patient Safety Learning's Chief Digital Officer, will be leading a panel at the conference on Thursday 18 June on 'Blind trust: What happens to medical misinformation when we can no longer trust our own eyes?' Find out more. Register for the event here
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Nordic Conference on Research in Patient Safety and Quality in Healthcare
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The 8th Nordic Conference on Research in Patient Safety and Quality in Healthcare 2026 brings together experts, researchers, and professionals from across the Nordic-Baltic region to discuss how health and social care systems can adapt to change while ensuring safety, quality, and equity. Keynote speakers include leading voices in health policy, research, and digital transformation: Lasse Lehtonen (Kela), Liina-Kaisa Tynkkynen (Finnish institute for health and welfare), Anne Moen (University of Oslo), Josephine Ocloo (King’s College London), and Henrique Martins (Universidade da Beira Interior / ISCTE-IUL). The program features national and regional perspectives on client and patient safety, discussions on the use of artificial intelligence in healthcare, and presentations on medication safety, rehospitalization, home treatment, and client safety in social services. The conference also explores key issues such as digital health literacy, citizen engagement, educational innovations, and the impact of inequity in client and patient safety. Together, these sessions aim to strengthen collaboration, share evidence-based practices, and inspire progress toward safer and more effective health and social care across the Nordic-Baltic region. The conference also aims to foster dialogue between health and social care quality and safety and warmly welcomes social care experts, researchers, and practitioners to join the conference. Register -
Scottish Patient Safety Programme: Essentials of safe care
Content ArticleThe Essentials of Safe Care is a practical package of evidence-based guidance and support that enables Scotland’s health and social care system to deliver safe care. It forms the building blocks for each Scottish Patient Safety Programme (SPSP) programme of work.
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NHS England case study: Inpatient falls and brain injury (23 July 2024)
Content ArticleThis NHS England case study is one in a set of patient safety ‘how we acted on patient safety issues you recorded’ case studies which show the direct action taken in response to patient safety events recorded by organisations, staff and the public, and how their actions support the NHS to protect patients from harm.
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Verita: A thematic review of six independent investigations (November 2014)
Content ArticleDuring the period March 2007 to June 2011 there were six homicides committed by service users who had received care and treatment from South West Yorkshire Partnership NHS Foundation Trust. External investigations have been carried out for all six cases three by The Health and Social Care Advisory Service (HASCAS) and three by Verita. Verita were also commissioned to consider any thematic similarities between the six cases.
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Care Quality Commission: The state of health care and adult social care in England 2024/25
Content ArticleThe State of Care is the Care Quality Commission’s (CQC) annual assessment of health and social care in England. The report looks at trends, shares examples of good practice and highlights where care needs to improve.
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Longwoods: Health Quality 5.0
Content ArticleThe work of health leaders is broadening in scope, scale and urgency to respond to massive global changes and challenges – including risks to safe, accessible and high-quality healthcare, threats to planetary health, crises in workforce resiliency and erosion of public trust and confidence. To address these issues and deliver on other imperatives around equity and inclusive service co-production, health leaders must again fashion a new quality improvement (QI) agenda fit for the times and the future, aligned with the move from digitisation to personalisation. The new era, Health Quality 5.0, must enable and be embedded in an integrated, coordinated and people-centred health system, supported by a learning health system and new QI approaches. This series addresses five big challenges of creating a resilient healthcare system.
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Something has to give on ICB redundancies (HSJ, 18 August 2025)
Content ArticleFunding uncertainty and delays risk undermining ICB reforms essential to delivering the NHS 10-Year Plan, writes Kathy McLean in this HSJ article.
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BMJ Future Health
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We know the challenges you face daily on the front line: time-pressured consultations, unreliable technology and the constant drive to give patients better care. The BMJ Future Health conference (6 - 7 November 2025) will provide the practical solutions to overcome these issues. Together with healthcare professionals from across health and social care, we’ll be collaboratively interrogating real problems to help pinpoint solutions that can make the impact that you want to, in your clinical practice and for patients. Register -
Quality improvement for surgical teams: Technology and innovations in joint replacement
EventThe The flyer with QR code can also be downloaded from attachment below: QIST 2025 QR.pdf
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Unveiling the impact of operational failures on patients: A SEIPS-based analysis From the perspective of hospital nurses
Content ArticleOperational failures (OFs) in hospital environments pose significant challenges for nurses, affecting patient care, workflow efficiency, and clinical processes. Common OFs include supply chain disruptions, communication breakdowns, and equipment failures. Although OFs are pervasive and frequent, current research primarily focuses on process improvement and employee well-being, neglecting the patient-centric perspective in this discourse. The objective of this study is to explore the impact of OFs on patient well-being through semi-structured interviews conducted with hospital nursing staff.
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BSI: ISO 7101:2023 Healthcare Quality Management Systems requirements on-demand
Content ArticleISO 7101:2023 is the inaugural global standard for healthcare quality management. It guides organizations, irrespective of size or structure, in establishing sustainable, high-quality health systems. Emphasising a people centred approach and risk identification, it ensures patient and workforce safety, controlled service delivery, and continuous improvement. Implementation leads to refined healthcare quality, improved patient safety, cost-efficiency, operational effectiveness, and enhanced reputation with expanded market reach. This course is designed to provide participants with a comprehensive understanding of the requirements for healthcare quality management systems. The course covers the key principles of ISO 7101:2023, including the creation of a culture of quality, people centred care, risk identification and management, patient and workforce safety, and continual improvement. Participants will learn how to apply these principles in their healthcare organizations to improve the quality of healthcare delivery and care outcomes. The course is suitable for healthcare professionals, quality managers, and anyone interested in healthcare quality management.
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Webinar series: Patient Safety Incident Reporting and Learning System
EventThe WHO Unit of Patient Safety and Quality of Care is pleased to invite you to the upcoming WHO Global Patient Safety webinar on Patient Safety Incident Reporting and Learning Systems. Patient safety incidents occur across all health care settings, yet many remain underreported or insufficiently analysed, limiting opportunities for learning and improvement. Establishing robust Patient Safety Incident Reporting and Learning Systems (PSIRLS) is critical for identifying risks, preventing harm, and fostering a culture of continuous improvement. This webinar will explore key dimensions of PSIRLS, starting with setting up required systems, creating an enabling environment for their operation, and effectively investigating incidents to drive meaningful learning. Through expert insights, country experiences, and interactive discussions, we aim to better understand how to transform incident reporting from a procedural task into a systemic driver of learning and improvement for patient safety and quality of care. Register
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The Patient Safety Incident Response Framework (PSIRF) & clinical audit
EventThe Patient Safety Incident Response Framework (PSIRF) arguably represents the most significant change to investigating and managing patient safety incidents in the history of the NHS. To embed PSIRF effectively within organisations, healthcare teams need to understand and utilise a range of new techniques and disciplines. Clinical audit is an established quality improvement methodology that is often overlooked by patient safety teams, but will play an increasingly important role in ensuring that PSIRF fully delivers its stated objectives. CQC reports often highlight the importance of clinical audit as a measurement and assurance tool that can raise red flags if used appropriately. Indeed, both the Ockenden and Kirkup reports highlighted the importance of clinical audit in identifying and quantifying substandard care. While SEIPS, After Action Reviews, more in-depth interviewing techniques, etc. are all receiving much fanfare in relation to PSIRF, the importance of clinical audit needs to be better understood. This short course will explain how organisations who use clinical audit effectively will increase patient safety and better understand why incidents take place. We will look at the key role of audit in understanding work as imagined and works as done and show why national audits can assist with creating patient safety plans. Change analysis and the effective implementation of safety actions are keys to PSIRF delivery and clinical audit will assist in the delivery of both. We will also demonstrate the important, but often under-appreciated role, clinical audit staff will have in the successful delivery of PSIRF. Key Learning Outcomes: Why clinical audit is an integral element of PSIRF. Why clinical audit staff have a vital role to play in PSIRF. How clinical audit data can help raise red flags and spot risks. Using clinical audit to better understand your incidents. Ensuring your safety actions are working. Using audit to assess your patient safety incident investigations. Register hub members receive a 20% discount. Email [email protected] for discount code.
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The Duty of Candour and PSIRF: a practical guide to implementation with emotional intelligence and compassion
EventAny staff with responsibility for implementing the duty of candour and/or PSIRF and those responsible for quality; safety; clinical governance; safety investigations; complaints; CQC compliance; or patient experience/ involvement would benefit from attending this one-day training. The course will provide participants with an in-depth knowledge and understanding of how to not only comply with the duty of candour and the Patient Safety Incident Response Framework (PSIRF), but to do so in an emotionally intelligent way, with empathy and compassion for all involved. Practical guidance on complying with the regulations and guidance The “grey areas” and what people most often get wrong Using emotional intelligence to understand the difficult emotions experienced by patients/those closest to them and staff following patient safety incidents What empathy and compassion mean in practice Handling difficult and emotive conversations well Making a meaningful apology How Duty of Candour and PSIRF work alongside other policies and procedures including complaints; litigation; Martha’s Rule and the soon to be introduced “Hillsborough Law” How the new “Harmed Patient Pathway” can help you get it right 7 How to ensure communication moves beyond compliance and frameworks but remains emotionally intelligent and personal Register hub members receive a 20% discount. Email [email protected] for discount code.
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Pathway to a restorative, just and learning culture - Linking into PSIRF, Complaints Standards Framework, Duty of Candour and psychological safety
EventThis one-day masterclass focuses on the Principles and Practice of a Restorative, Just, and Learning Culture, emphasising how empathy is crucial to fostering a fair and psychologically safe environment. Through experiential learning using a true story, participants will have the opportunity to see things differently; examining how empathy and compassionate leadership underpin a Just Culture, helping organisations move from blame to learning, accountability, and system improvement. Using candid video material between facilitator, Carolyn Cleveland and Dr Chris Turner, Emergency Medicine Consultant and Co-Founder of Civility Saves Lives, potential divide of lived experience, psychology, frontline healthcare and governance is bridged. The session will bring empathic thinking into real-life practice, guiding attendees to understand the emotional complexities of patient safety incidents, staff fears and wellbeing and working with human reactions. It will highlight the difference between retributive and restorative practices and how adopting restorative approaches can enhance both patient and staff outcomes. In a safe, supportive environment, participants will reflect on how personal biases affect communication, and explore how culture change can be achieved and the challenges. The session will integrate self-reflection activities to strengthen personal well-being, emotional resilience, and inclusive leadership skills, which are vital for creating a compassionate, high-performing team. Using emotive and thought provoking material, balanced with the science of emotional intelligence, the real impact of a restorative, just and learning culture principles are felt, ensuring attendees leave with actionable insights, combined with emotional understanding to drive systemic change in their teams and wider organisations. Register hub members receive a 20% discount. Email [email protected] for discount code.
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A practical guide to investigating falls under PSIRF
EventThis interactive and practical course will provide a structured approach to investigating falls. You will be guided through gathering the evidence, conducting a detailed analysis of the issues and production of the final report using a blame-free, systems-based approach. This one-day training session will equip delegates with the skills to manage and investigate different types off falls. The day will be case study led and delegates will have the opportunity to ask questions pertaining to their own area of practice. Different types of learning responses will be explored, such as PSII, AAR, Swarm Huddles and thematic reviews. KEY LEARNING OBJECTIVES: What is a slip, a trip and a fall? Choosing different types of learning responses. How to recognise the systemic, human, intrinsic and extrinsic factors associated with different types of falls. Undertaking effective site visits. Focus on organisational learning through systemic analysis. Practical report writing skills. Register hub members receive a 20% discount. Email [email protected] for discount code.
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Does terminology matter in healthcare simulation: Transformational and translational simulation? (22 July 2024)
Content ArticleAs healthcare simulation evolves, so do the ways simulation is used to improve healthcare. Clinical Simulation has evolved from the traditional use in an academic setting to a more non-pedagogical practice focus setting. This growth has created confusion about what to call these healthcare simulation experiences, such as Translational Simulation or Transformational Simulation, or even Mastery-Based Learning. This HealthySimulation.com article written by HealthySimulation.com Content Manager Teresa Gore will summarise some of the published practice-based clinical simulation terminology in the literature that is not present in the Healthcare Simulation Dictionary.
- Improving healthcare services for people with ME and Long Covid: Patients share their challenges, and the actions needed