The 500 character limit is excessively restrictive in my opinion for something which is supposed to be a key driver for achieving a step change in patient safety across the NHS. There is the facility to send comments via e-mail which I have done instead.
I've reproduced my feedback below in case it is of interest to others. Overall, I think what is there is good but it seems to be missing some key elements in terms of supporting the kind of changes described in the national patient safety strategy:
- The syllabus focuses on the role of organisational culture and its impact on patient safety
- The inclusion of hierarchy of control when thinking about interventions to make services safer
- It refers to proactive risk management rather than simply reacting when things have gone wrong, however, this element needs to be strengthened (see below)
- There is a strong focus on systems, human factors and just culture when investigating incidents in order to promote learning and move away from a blame culture.
Areas for development:
- The syllabus does not mention Safety II or associated key concepts such as difference between work as imagined and work as done
- The syllabus builds on and reinforces what we already have in place within the NHS rather than setting out a step change
- It needs to describe more of how we would learn from things which go well (learning from excellence) and day to day work rather than focusing simply on accidents and incidents where things have gone wrong, i.e. via utilising techniques from Safety II.
- No mention of appreciative enquiry, quality improvement methodology or other methodologies which could be used to deliver improvements which can enhance safety of services. This would be an important part of a proactive focus when it comes to safety
Overall I think Safety II and quality improvement are key elements for inclusion in a patient safety syllabus and should be included to reinforce the direction of travel set out in national patient safety strategy"