Patient_Safety_Learning
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News article
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Clinicians and managers knew of problems with an ear, nose and throat waiting list five years before a backlog of nearly 9,000 patients came to light, an NHS England review has found. Despite managers and clinicians being aware, there was no evidence concerns were “acted upon either clinically or operationally”, said the review, which was carried out by a senior operational director in NHSE’s South East region. Read full story (paywalled) Source: HSJ, 3 August 2026 -
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Donna Ockenden’s Independent Review of Maternity Services at Nottingham University Hospitals NHS Trust and Baroness Amos's Independent National Maternity and Neonatal Investigation have both landed in the space of a few weeks. Louise Page has worked in maternity care for all of her career. This is the first of two blogs looking at what these reviews mean for the way we care for women, babies and families. -
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This review presents findings from the 2025 national survey on the implementation of patient safety partners (PSPs), in line with the Framework for involving patients in patient safety (IPIPS). It also draws learning from the patient safety partners 2023 survey. The review: highlights what is working well identifies areas where challenges persist and improvement is needed sets out recommendations for patient safety partners, patient safety leaders, NHS trusts, integrated care boards (ICBs) and NHS England outlines the steps NHS England will take in response to the findings Learning and actions for NHS England By autumn 2026, highlight to trust leadership and patient safety teams the decline in involvement payment rates (from 56% in 2023 to 51% in 2025) and reaffirm that payment is expected and supports inclusion. Publish an updated PSP role description by autumn 2026, including co-designed updates for mental health and primary care organisations. Host a national webinar for PSPs by autumn 2026, presenting key survey findings and providing a space for PSPs to ask questions and share experiences. Present the findings and recommendations in this review at a national PSS webinar in autumn 2026. Co-create a presentation about the role of PSPs and how PSPs can ask good questions, for sharing and local adaptation by autumn 2026 (to be made available on Futures collaboration platform). Share this revi -
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Julie Plumridge is a Senior Safety Partner at Great Ormond Street Hospital. This video is part of a series on paediatric patient safety investigations. The first video focused on involving families and the second focused on providing meaningful feedback. In this 1-minute video Julie talks about the importance of supporting staff doing emotionally challenging patient safety work. Read the transcript -
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This study aimed to assess current use of systems thinking-based strategies by examining a set of Australian patient safety incident investigations. The focus on individual actions highlighted that simple linear thinking persists in patient safety incident investigations. This study proposes five key areas of effective incident analysis and investigation: a sociotechnical focus; improved data collection techniques; investigative independence; the professionalisation of investigators; and the aggregation of data. -
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Stories and images of large numbers of people waiting in overcrowded A&E departments are sadly not new. There has been growing concern in recent years, however, about the number of patients who are being treated in areas that are not designed for clinical care. In this article for Nuffield Trust, Sarah Scobie and Stuti Bagri assess whether this is affecting particular groups of patients more than others, and discuss whether current policies – including a new definition for corridor care – could make a difference. -
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The Department of Health and Social Care is seeking evidence that contributes towards an understanding of: the professions and roles that should continue to be able to use the title ‘nurse’ without risk of prosecution other professional titles that should be protected under the Nursing and Midwifery Council’s (NMC) legislative framework Given the territorial extent of NMC’s regulatory framework, and the fact that professions using the title ‘nurse’ may exist across different parts of the UK, they are seeking views from Northern Ireland, Scotland and Wales as part of the call for evidence. They welcome views from: the public regulators, including NMC the Royal College of Nursing trade unions employers the higher education sector charities other sectors where nurse is used as part of a professional title other professional representatives the social care sector -
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NHS England plans to change how it evaluates the success of the controversial Palantir data platform that is being rolled out across the health service after staff highlighted flaws in the analysis. Emails obtained by the Financial Times via a freedom of information request show the health service intends to modify how it calculates two of its headline figures about the performance of the Federated Data Platform (FDP) in the next quarterly update, more than a year after the data was first published. The changes will affect two of NHSE’s most widely cited claims: that hospitals using the FDP have delivered 110,000 additional operations and that they have registered a 15 per cent reduction in discharge delays. Read full story Source: Financial Times, 3 August 2026 -
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Diagnosed with multiple sclerosis (MS) six years ago and left unable to walk unaided, Numan Unees was facing a challenging future before a pioneering clinical trial gave him new hope. The 40-year-old is the first patient in Sheffield and the seventh in a global trial to receive an immunotherapy treatment originally developed for some cancers. Experts said it is still early days, but if this experimental treatment eventually proves to be safe and effective for MS patients it could be a "gamechanger". Read full story Source: BBC News, 3 August 2026 -
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Deaths of newborns have risen by more than 80 per cent among the most vulnerable people across sub-Saharan Africa in the wake of global aid cuts, including by the UK and US. Data covering more than three million refugee women across 20 nations, given exclusively to The Independent, shows that neonatal mortality – deaths within the first 28 days after birth – rose by 81 per cent between 2025 and 2026. That is a rise from 3.1 to 5.6 deaths per 1,000 live births, according to the UN refugee agency (UNHCR). Read the full story Source: Independent, 2 August 2026 -
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An NHS mental health trust plans to cut a wide range of its services and axe hundreds of jobs to close a £25m hole in its finances. The move by the East London foundation trust (ELFT) and the scale of potential cuts involved have been called unfathomable given demand for NHS mental health support is rising rapidly. The plan has sparked fears that under-18s and adults needing psychological treatment will have to wait longer or be forced to go private, leading “to lives being destroyed”. Read full article Source: The Guardian, 3 August 2026 -
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In December 2022 Dylan Cope, a 9 year old boy, died of sepsis after being discharged from hospital. A coroner found the boy's death “would have been avoided if he had not been erroneously discharged”, and said what happened "amounts to a gross failure of basic care”. In this long-read article, Dylan’s mum Corinne draws parallels between her son’s care and the death of Ethan Hanson, who died last year from perforated appendicitis, generalised peritonitis and sepsis. She argues that GP referrals for urgent care need to be appropriately escalated and that widespread system learning from individual preventable deaths is critical to saving lives. -
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Peter Sidgwick is a Consultant in Paediatric Intensive Care at Great Ormond Street Hospital. In this short video (2mins 39secs) he talks about how to make feedback more meaningful for families involved in paediatric patient safety investigations. This is part of a series of short videos focusing on patient safety investigations in paediatrics. The other videos explore family involvement, and supporting staff doing emotionally challenging work. Read the transcript -
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This is a poem written and read by Elaine Freeman, Patient Safety Partner (PSP) at Lincolnshire Community and Hospitals NHS Group. Elaine and her PSP colleagues shared their poems with the Group Chief Governance Officer, her deputy, and the new Chair of the Group, inviting reflection on the importance of patient-centred care. The PSPs chose poetry as a powerful and personal way to express their experiences, insights, hopes, and concerns, and to highlight the human story behind the numbers. Two other poems they shared are included at the end. The video has been created by Patient Safety Learning. -
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Julie Plumridge, is a Senior Safety Partner, at Great Ormond Street Hospital. In this short video (2mins 37secs) Julie talks about the importance of involving families in paediatric patient safety investigations. This is part of a series of short videos focusing on patient safety investigations in paediatrics. The other videos explore meaningful feedback for families, and supporting staff doing emotionally challenging work. Read the transcript -
Content Article
Our free platform for patient safety – the hub – was launched in 2019 with the aim of sharing learning for safer care. We now have members from all around the world, and many are helping to shape the hub by sharing their patient safety insights through blogs, interviews, tools and practical examples. In this Top picks, we showcase some of our international contributions, and celebrate our ever-growing network of people who are passionate about reducing avoidable harm. -
News article
An NHS hospital trust in Greater Manchester is using a new form of technology to help tackle growing pressure on its emergency department. Tameside & Glossop Integrated Care NHS Foundation Trust has introduced an artificial intelligence (AI) tool to identify patients who may need extra support before they end up back in hospital. The tool looks at information already routinely collected during a visit to Tameside General Hospital A&E and predicts which patients are most likely to return within the next month, allowing staff to step in with community care before their health problem worsens. Read full story Source: Manchester Evening News -
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The findings of two recent health inquiries in Northern Ireland demand a clear, direct and robust response, the Health Minister Mike Nesbitt has said. In a hard-hitting speech to senior health leaders, Nesbitt said the experiences of patients described in the reports had rocked public confidence in the health and social care system. The minister said both reports set out serious and in places deeply disturbing failings in care which highlight breakdown in systems, in oversight and culture. Read full story Source: BBC News, 30 June 2026 -
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Up to 4 million women with irregular periods should be investigated for polyendocrine metabolic ovarian syndrome, according to new NHS guidance. PMOS, previously known as polycystic ovarian syndrome, is believed to affect up to 13% of reproductive age women, the World Health Organization estimates. Symptoms include irregular, very short, long or absent periods, excess levels of testosterone, and ovaries with multiple small follicles. The condition is associated with greater risk of developing type 2 diabetes, cardiovascular disease, sleep apnoea, fatty liver disease, mental health issues and complications in pregnancy. Read full story Source: Guardian, 1 July 2026 -
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A review into maternity safety in England was changed just days before publication to remove criticism of a "normal birth drive", according to a former member of the inquiry team. The campaign, which encourages vaginal birth without any medical intervention and is backed by many midwives, has been found to have contributed to avoidable deaths and harm in other reviews. But Dr Bill Kirkup told the BBC that similar criticism was removed from the government-commissioned review, forcing him to resign. Read full story Source: BBC News, 1 July 2026 -
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This page advises healthcare professionals working within the community, care homes or hospital environments on how to reduce the risks of hot weather to the health of people they provide care for. -
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Some people will rejoice at the thought of hot weather coming our way. But for nursing staff, keeping hydrated while at work can bring another challenge to already busy days. Royal College of Nursing Head of Health, Safety and Wellbeing Kim Sunley answers your questions on this key subject. -
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Patient Partnership Week (29 June-3rd July 2026) is a moment to focus on a simple but powerful truth: healthcare works best when patients are treated as partners. Across the week, The Patients Association brought together patients, professionals, policymakers, and researchers to explore what meaningful partnership looks like in practice and why it matters, where progress is being made, and what still needs to change. -
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In this blog, Jean Almond and Sam Freeman Carney from Parkinson’s UK explain how their new time critical medication dashboard is: exposing the cost of missed and delayed medication encouraging renewed focus on improvements reducing avoidable harm. This blog is part of a series on noncommunicable diseases, in support of World Patient Safety Day 2026 (WPSD 2026). -
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