Everything posted by Patient_Safety_Learning
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Shaping the National Quality Strategy: Insights from Dr Penny Dash at the Patient Safety Forum (27 February 2026)
Content ArticleOn 25 February 2026, healthcare leaders and stakeholders gathered in London for the Patient Safety Forum, organised by Public Policy Projects (PPP) in partnership with Patient Safety Learning. Dr Penny Dash, Chair of NHS England, returned to give a keynote address, alongside PPP Chair, the Rt Hon. Stephen Dorrell. As well as providing an update on the forthcoming National Quality Strategy, Dr Dash reflected on the findings of her 2025 review of the patient safety landscape and how the NHS is moving forward to improve quality of care. Read the full article from PPP via the link below.
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Top Picks: Women campaigning for patient safety
Content ArticleOver the years, we have worked with many amazing women who share our aim of reducing avoidable harm in health and social care. In this blog, to mark International Women’s Day, we are celebrating women who campaign for patient safety.
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From rhetoric to reality: what is the neighbourhood health service? (Macmillan Cancer Support, February 2026)
Content ArticleThis long-read from Macmillan Cancer Support explores what it truly takes to shift from rhetoric to reality when it comes to a neighbourhood health service. This article includes sections titled: Inside the shift toward community centred care in England and what is needed to make it work. What is the vision for a neighbourhood health service in England? What might this vision of neighbourhood health mean in practice? What's needed to make this vision of a neighbourhood health service work? Conclusion - going forward with neighbourhood health
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SafetyNet Webinar: The Global State of Patient Safety Report
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The Global State of Patient Safety report 2025 from the Institute of Global Health Innovation at Imperial College London and Patient Safety Watch, and supported by the NIHR North West London PSRC, was launched by Health Secretary Wes Streeting MP and former Health Secretary Sir Jeremy Hunt MP at the House of Lords Thursday, 29 January. This is the second report in the series, with the first published in 2023. Join this special SafetyNet webinar on The Global State of Patient Safety report 2025, where report authors Bryony Dean Franklin, Melanie Leis and Sophia Batchelor will discuss the key findings of the report and demonstrate the global state of patient safety dashboard. Date: 25 March 2026 Time: 10 – 11am Where: Online (Zoom) Register here -
Prostate Cancer Care for Men with an Intellectual Disability: A Population-based Cohort Study of Symptoms, Diagnosis, Treatment, and Survival
Content ArticleIntellectual disability (ID) is increasingly recognised as a hidden driver of cancer mortality. However, evidence on prostate cancer (PC) care in this population is limited. The study population comprised 29 554 men with an ID and 518 739 comparators from the Clinical Practice Research Datalink Aurum database, which is linked to hospital, mortality, and cancer registry data. Poisson and Cox regression analyses were used to estimate incidence rate ratios (IRRs), risk ratios (RRs), and hazard ratios (HRs) with 95% confidence intervals (CIs) for outcomes related to PC presentation, diagnosis, treatment, and survival. Authors conclude that men with an ID face disparities across the PC care pathway from investigation of relevant symptoms to survival after diagnosis. Targeted interventions are needed to address these inequities.
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Building openness, trust, and courage: the journey of the Patient Safety Management Network
Content ArticleIn this blog, Claire Cox, Associate Director at Patient Safety learning and chair of the Patient Safety Management Network (PSMN), describes how the PSMN is transforming from a community of interest to an emerging movement in patient safety. One where people are empowered to build openness, trust, and courage together.
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Is the world better prepared for the next pandemic?
Community PostSix years ago, the Director-General of the World Health Organization (WHO) declared the outbreak of a new coronavirus disease (later known as COVID-19) a Public Health Emergency of International Concern. Six year's later, WHO is asking: Is the world better prepared for the next pandemic?
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Commissioning: lessons from the last 30 years and implications for the new role of ICBs (Nuffield Trust, 11 February 2026)
Content ArticleSince its introduction in 1990, the commissioning layer of the NHS has been the most reorganised part of the health service, and it is changing once again. In this article for the Nuffield Trust, Nigel Edwards reviews the lessons to learn from the past and describes what needs to happen for ICB-led strategic commissioning to succeed where previous models have fallen short.
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Share your experience in the Patient experience survey (the Patients Association, February 2026)
Content ArticleThe Patients Association are asking for 10 minutes of your time to complete their Patient experience survey. They want to hear about your experiences with NHS services over the last six months: what’s working well, what isn’t, and what needs to change.
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Tackling alarm fatigue: how a joint QI initiative reduced false alarms by 99%
Content ArticlePhil Ross is the Chair of the Design in Mental Health Network, Co-Founder of Safehinge Primera, and a Trustee at the Centre for Mental Health (UK). In this blog, Phil describes a collaborative Quality Improvement project that aimed to ensure a door alarm system acted as a trusted safety aid, not a constant distraction.
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Thrush and vulval nerve damage: lack of information and knowledge puts patients at risk (a blog by Philly Baines)
Content ArticlePhilly Baines is a patient advocate and Founder of Thrush Support. She is living with chronic pain following recurrent thrush infections and vulval nerve damage. In this opinion piece, Philly shares her experience and calls for action to make sure patients and healthcare professionals are more aware of the risk of thrush-associated nerve damage. She highlights the devastating impact chronic vulval pain has on people’s lives and why prevention is key.
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Triangulating feedback: a 4-step process to support improvement in discharge (NHS England)
Content ArticleTo gain a rich understanding of the experience of discharge, it’s important to look at different sources of feedback. This could be existing data including national surveys, local data or complaints. Using different sources can help to give you a clearer picture of any themes in the feedback and where to focus your co-produced improvements. NHS England have set out a 4-step process to triangulating feedback (link below), with a focus on the experience of discharge for people who use services and their unpaid carers, which has been shown to correlate strongly with overall experience of care.
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Monitoring the Mental Health Act (CQC, 29 January 2026)
Content ArticleThe Care Quality Commission has published a report called: Monitoring the Mental Health Act is our annual report on the use of the Mental Health Act 1983 (MHA). It looks at how providers are caring for patients, and whether patients' rights are being protected. The MHA is the legal framework that provides authority for hospitals to detain and treat people who have a mental illness and need protection for their own health or safety, or the safety of other people. The MHA also provides more limited community-based powers, community treatment orders and guardianship.
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NHS England stakeholder engagement on the future of Freedom to Speak Up
Content ArticleAhead of the National Guardian’s Office (NGO) closing this June, NHS England is seeking feedback on proposals for how Freedom to Speak Up (FTSU) should be delivered in future, and what is needed to ensure people across the NHS continue to feel supported, safe and confident to speak up. Read NHS England's proposals - Future of Freedom to Speak Up: engagement pack Share your views through an online survey - Future of Freedom to Speak Up: engagement survey (The deadline for responses is Friday 20 February 2026) NHS England are also hosting stakeholder engagement sessions for Executive leaders, HR Directors and Chief People Officers with FTSU responsibilities. The sessions links can be found below. If you would like to attend, please note you only need to attend one session. Please remember to add a reminder in your calendar as pre-registration is not required and calendar invitations will not be generated. Session dates and links: Wednesday 11 February 2026, 2.00PM to 4.00PM - https://teams.microsoft.com/meet/3715987841702?p=frAUfH6LTlOrBSFY8j Thursday 12 February 2026, 2.00PM to 4.00PM - https://teams.microsoft.com/meet/37168317016746?p=W8ajveOatfz0gJpzKP
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Future of Freedom to Speak Up: engagement pack
Content ArticleThis engagement pack sets out proposals for the future of Freedom to Speak Up (FTSU) as the National Guardian’s Office (NGO) prepares to close. We are seeking your views on how FTSU functions should be delivered to ensure continued support for speaking up across the NHS.
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Letter from Patient Safety Partners calls for fatigue to be added to organisational risk registers (20 January 2026)
Content ArticleOn the 20 January 2026, a selection of Patient Safety Partners who are also members of the Patient Safety Partners Network, wrote to a number of key stakeholders outlining their concerns around healthcare worker fatigue and calling for action. The letter was sent to: Wes Streeting MP, Secretary of State for Health and Social Care Baroness Merron, Parliamentary Under-Secretary of State (with portfolio responsibility for patient safety) Dr Aiden Fowler, National Director of Patient Safety and NHS England Professor Henrieta Hughes, Patient Safety Commissioner for England Layla Moran MP, Chair of the Health and Social Care Select Committee Jeremy Hunt MP, Chair of the All-Party Parliamentary Group on Patient Safety Danny Mortimer, Chief Executive of NHS Employers The content of the letter can be viewed below.
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Stories of safety podcast: Pascale Carayon (NIHR, November 2025)
Content ArticleStories of Safety is a podcast that delves into the stories, science, and policy that have shaped health care safety. Hosted by patient safety researcher Professor Jane O’Hara, and funded and delivered by National Institute for Health and Care Research (NIHR) Yorkshire &; Humber Patient Safety Research Collaboration (PSRC), this series brings together leading voices from the UK and beyond to explore a deceptively simple yet crucial question: How safe are we, and how can we improve? In this episode we hear from Professor Pascale Carayon, Professor Emerita at the University of Wisconsin-Madison, USA, and a global leader in applying human factors and systems engineering to healthcare and patient safety. Professor Carayon reflects on the evolving role of human factors engineering, from her early development of the SEIPS (Systems Engineering Initiative for Patient Safety) model to its widespread influence on healthcare system design and quality improvement. They explore how engineering, human factors/ergonomics, and organisational design can be harnessed to prevent harm, redesign complex care systems, and foster safer, more resilient healthcare environments.
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Pregnancy and childbirth: trusted information collection (Patient Information Forum)
Content ArticleThe Patient Information Forum (PIF) have launched a series of new collections to help people find trusted resources. Each collection only features resources that have the PIF TICK. That means they are easy-to-read, evidence-based and easy to understand. View their collection of trusted resources on pregnancy and childbirth via the link below. Topics include: planning for pregnancy when to call the midwife and taking care of your mental health. All the resources are from Trusted Information Creators using a PIF TICK approved process. This means are they are up to date, evidence based and easy to use and understand.
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Trusted information collection: severe mental illness (Patient Information Forum)
Content ArticleThe Patient Information Forum (PIF) have launched a series of new collections to help people find trusted resources. Each collection only features resources that have the PIF TICK. That means they are easy-to-read, evidence-based and easy to understand. View their collection of trusted resources on severe mental illness via the link below. Topics include schizophrenia bipolar disorder and psychosis.
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Design in Mental Health Conference 2026
Event2 and 3 June 2026 Discover what’s in store at Design in Mental Health 2026, the premier meeting of professionals responsible for designing and delivering mental health environments. Open now to discover: Confirmed Keynote speakers from NHS England and the Care Quality Commission 5 brand-new Conference themes and confirmed presentation titles The Exhibition, including confirmed Exhibitors The 2026 Design in Mental Health Awards More information on dates for VIP and Premier Pass bookings – including applications from public sector and selected other groups for FREE all-access Conference & Exhibition access Register here
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National Maternity and Neonatal Investigation Call for Evidence (20 January-17 March 2026)
Content ArticleBaroness Amos is asking women and families across England to share their experiences of maternity and neonatal care through a public Call for Evidence. Responses to the Call for Evidence will be used to inform the National Maternity and Neonatal Investigation’s findings and recommendations. The Call for Evidence is open for 8 weeks from 20 January until 17 March 2026. There are two Call for Evidence surveys available: One for women and people who have been pregnant to share their own experiences of maternity and neonatal services. One for other people to share their experiences supporting someone through pregnancy. This could include fathers, non-birthing partners, family members, friends, or other support people. You must be aged 16 and over to respond. If you are under 16, you must complete the Call for Evidence with somebody who is 16 or over. Follow the link below for more information.
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THIS.Institute: AI, data & digital technology
Content ArticleTHIS.Institute has a number of projects running to generate evidence to uncover what works, what doesn’t, and the changes needed for AI, data and digital technologies to improve healthcare. Projects include: An interactive online community to guide the future of ambient voice technology in health and care. Improving healthcare service assessment using generative AI. Using AI to help prioritise urgent GP care requests. Does using a digital scribe save GP time? AI guided clinical coaching in urgent and emergency care. More information can be found via the link below.
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What we lose when we surrender care to algorithms (9 November 2025)
Content ArticleIn this article for the Guardian, the author argues that a dangerous faith in AI is sweeping American healthcare – with consequences for the basis of society itself.
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Evaluating the impact of an indication-based, patient-specific prescribing tool on prescribing errors in paediatrics: a non-randomised, before-and-after study (12 September 2025)
Content ArticleMedication errors remain a major challenge in paediatric prescribing owing to the complexities of weight-based dosing, age-specific formulations and the need for precise calculations. This study examines the association of an indication-based, patient-specific prescribing tool with prescribing errors in paediatric emergency and inpatient settings. Findings suggest that use of the intervention is associated with significantly lower odds of a prescribing error occurring in paediatric settings. Future work should focus on optimising prescriber adherence, enhancing system integration into clinical workflows and exploring economic and user-experience outcomes to maximise impact.
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Ambient documentation technology in clinician experience of documentation burden and burnout (21 August 2025)
Content ArticleThis study explored the question: is the use of ambient documentation technology (ADT) associated with changes in clinician experience of documentation burden and burnout? Findings of this survey study of 1430 clinicians from 2 academic medical centre systems, showed that ADT was associated with reductions in burnout and improved well-being scores compared with baseline. These findings suggest that ADT may hold promise for enhancing clinicians’ perceived documentation-related well-being and reducing burnout.