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This one day masterclass will focus on a toolkit to allow organisations to use patient experience and incident to improve patient safety. The Toolkit uses 3 phases: planning, implementation and review. The Francis Report showed that the NHS had stopped listening to the needs of its users. Patient experience is still an underutilised tool in the armoury of a healthcare organisation and commissioners. The toolkit uses the priorities of the Francis Report to improve patient experience and patient safety. These include putting patients first, openness, candour, accountability, complaints handling, culture of caring and compassionate leadership. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/patient-experience-and-learning-from-incidents-to-improve-safety or email aman@hc-uk.org.uk. hub members receive a 20% discount. Email info@pslhub.org for discount code.

This national conference looks at the practicalities of Serious Incident Investigation and Learning from Deaths in Mental Health Services. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework). NHS Improvement is working with these early adopters to test implementation, and analysis of this will inform the final version with the revised framework due in Spring 2022. Local systems and organisations outside of the early adopter areas are free to use the already published version of the PSIRF to start to plan and prepare for PSIRF’s full introduction. The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement, and updates from PSIRF early adopter sites in mental health. The conference will also examine how the new framework will fit with the Royal College of Psychiatrists Care Review Tool for mortality review. This conference will enable you to: Network with colleagues who are working to improve the investigation of serious incidents and deaths in mental health services. Ensure your approach to Serious Incident Investigation is in line with the Patient Safety Incident Response Framework (PSIRF). Learn from outstanding practice in implementing the Royal College of Psychiatrists Mortality Care Review Tool. Reflect on the lived experience of a bereaved relative. Improve the way you involve and engage families and carers in the investigation process. Develop your skills in incident investigation and mortality review. Understand how you can improve serious incident investigation and learn from Mental Health early adopters of the New Patient Safety Incident Response Framework. Identify key strategies for undertaking a self assessment, and continuous review of deaths and investigation practice in your organisation. Understand how human factors can help improve learning from serious incident investigation. Ensure you are up to date with the role of the coroner. Understand how you can better support staff when a serious incident occurs. Self assess and reflect on your own practice. Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes. Register

This seminar is hosted by the Yorkshire Quality and Safety Research Group and hosted by Professor Jane O'Hara from the University of Leeds. Understanding what happens when things go wrong in healthcare remains the cornerstone of patient safety policy globally. Organisations want, and need, to learn about safety failures in order to try and reduce the likelihood of similar events happening in the future. Patients and families also want to prevent future recurrence of safety failures. On the face of it, engaging with patients and families in serious incident investigations seems like an obviously important aim, and perhaps one that should be relatively straightforward to achieve. However, despite a range of policy directives for involving patients and families in the process of investigating serious safety failures, the practice of involvement remains variable. This webinar will present findings from a programme of work funded by the National Institute for Health Research, which has developed, and is now testing, new guidance for engaging patients and families in serious incident investigations. I will discuss what patients and families want from incident investigations, and how this has shaped our co-design of the new guidance. I will also consider how sometimes, different understandings of what justice might mean for responses to safety failures, can lead to problems for organisations, staff and patients and families. I will propose that involvement of patients and families is a deceptively simple endeavour, and that without careful articulation of what different stakeholders want and need following safety failures, we can compromise organisational learning, and most importantly, risk compounding the harm for those affected. Biography Jane O’Hara is Professor of Healthcare Quality and Safety, based within the School of Healthcare, University of Leeds, UK. She is Deputy Director of the Yorkshire Quality and Safety Research Group, and theme lead for the Patient Involvement in Patient Safety theme within the NIHR Yorkshire & Humber Patient Safety Translational Research Centre. Jane also holds a Visiting Professor position at the SHARE Centre for Resilience in Healthcare at the University of Stavanger, Norway. Register for this event. If you have questions about this event, please contact the seminar organisers Siobhan McHugh or Helen Smith.

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) a version of which has now been published and which is being tested in early adopter sites. NHS Improvement is working with these early adopters to test implementation, and analysis of this will inform the final version. Local systems and organisations outside of the early adopter areas are free to use the already published version of the PSIRF to start to plan and prepare for PSIRF’s full introduction from Spring 2022. The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/serious-incident-investigation-patient-safety or email kate@hc-uk.org.uk Follow on Twitter @HCUK_Clare #NHSSeriousIncidents hub members can receive a 20% discount. Email info@pslhub.org discount code.

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) a version of which has now been published and which is being tested in early adopter sites. NHS Improvement is working with these early adopters to test implementation, and analysis of this will inform the final version. Local systems and organisations outside of the early adopter areas are free to use the already published version of the PSIRF to start to plan and prepare for PSIRF’s full introduction from Spring 2022. The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement. Register

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) which has now been published for the early adopter sites as introductory guidance. NHS Improvement will then work with a small number of early adopters to test implementation. For all other organisations the PSIRF is being published for information only and using learning from the pilot sites, resources and guidance will be developed to support organisations to adopt and implement PSIRF, with an expectation that providers and local systems will begin transitioning to the PSIRF from Spring 2022. The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/serious-incident-investigation-learning or email kate@hc-uk.org.uk hub members receive 20% discount. Email info@pslhub.org for discount code Follow on Twitter @HCUK_Clare #NHSSeriousIncidents

The duty of candour is a central to patient safety – the idea that, when things go wrong, healthcare professionals should be open and honest about this with patients and colleagues. But while incident reporting is a central plank to patient safety, the evidence still suggests that adverse outcomes and near misses are under-reported. This even before the challenges of the pandemic – which has left staff understandably exhausted, overstretched and under pressure – is taken into account. So how, in an environment as challenging as the service currently finds itself in, can candour in healthcare continue to be supported? How can leaders ensure that their colleagues have the time and space to report issues as they emerge? How can a no-blame culture continue to be fostered, from the boardroom down? What barriers remain to consistent reporting of incidents, how have they changed since the pandemic, and how can they be overcome? How might a culture of openness help combat health inequalities, not least those linked to ethnicity? This HSJ webinar, run in association with RLDatix, will bring together a small panel to discuss these important issues. Register

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) which has now been published for the early adopter sites as introductory guidance. This conference will enable you to: Network with colleagues who are working to improve the investigation of serious incidents. Ensure your approach to Serious Incident Investigation is in line with the NHS Patient Safety Strategy. Update your knowledge with national developments including the New Patient Safety Incident Response Framework. Understand developments in the PSIRF early adopter sites. Reflect on the management and investigation of serious incidents involving COVID-19. Learn from outstanding practice in the development of serious incident investigation and mortality review. Reflect on the perspectives of a patient who has been involved in a serious incident. Develop a risk based response to incident investigation. Reflect on the development of mortality governance within your organization and understand the challenges of COVID-19. Understand how to work with staff to ensure a focus on learning and continuous improvement. Develop your skills in Serious Incident Investigation: applying the human factors to move the focus of investigation from acts or omissions. of staff, to identifying systems improvement. Identify key strategies for improving investigation of serious incidents. Gain CPD accreditation points contributing to professional development and revalidation evidence. Register

When things go wrong in health and social care, there can be significant consequences for patients, staff, and leaders. But, too often, the voices of people who use services and their families have gone unheard, while staff have feared being blamed for mistakes that result from systemic failings or human error. So how can health and social care leaders at all levels create a just culture, where mistakes lead to learning? And how can organisations take accountability for learning and improving after something goes wrong? The King’s Fund is co-hosting this virtual conference in partnership with the Parliamentary and Health Service Ombudsman from 13–16 September, in the lead up to World Patient Safety Day on 17 September, to explore how culture is key to enable professionals, patients and organisations to use the learning from mistakes and serious incidents to drive improvement in the safety and quality of care. Drawing on stories of learning and accountability told from several different perspectives, including case studies, we will examine how taking responsibility for learning offers a positive alternative to a culture of fear or blame. Register

This virtual masterclass, facilitated by Mr Perbinder Grewal, will focus on Patient Safety and how to setup a proactive safety culture. It will look at what patient safety is and how we can set up and improve the safety culture. It will look at Human Factors and how we can mitigate some of the common errors. Can we have a system with zero patient safety incidents or errors? For more information  and to book or email kerry@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) which has now been published for the early adopter sites as introductory guidance. NHS Improvement will then work with a small number of early adopters to test implementation. For all other organisations the PSIRF is being published for information only and using learning from the pilot sites, resources and guidance will be developed to support organisations to adopt and implement PSIRF, with an expectation that providers and local systems will begin transitioning to the PSIRF from Spring 2022. The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement. Register

Chaired by Dr Caroline Walker Founder The Joyful Doctor; Psychiatrist and Specialist in Doctors’ Wellbeing, this conference focuses on supporting staff who have been involved in patient safety incidents, or are the subject of complaints or claims. Involvement in an incident, complaint or claim can have severe consequences on staff who may experience a range of reactions including stress, depression, shame and guilt. Download brochure Register

This national conference looks at the practicalities of Serious Incident Investigation and Learning from Deaths in Mental Health Services. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) which has now been published for the early adopter sites as introductory guidance, and will examine how this will fit with the Royal College of Psychiatrists Care Review Tool for mortality review. A 20% discount is currently available. Quote HCUK20dmh when booking. Register

This conference focuses on supporting staff who have been involved in patient safety incidents, or are the subject of complaints or claims. Involvement in an incident, complaint or claim can have severe consequences on staff who may experience a range of reactions including stress, depression, shame and guilt. This conference will enable you to: Network with colleagues who are working to support staff following incidents, complaints or claims. Understand national developments including the requirements in the 2020 Patient Safety Incident Response Framework. Reflect on how we can better support staff experiencing these issues through COVID-19. Deliver a just culture that supports consistent, constructive and fair evaluation of the actions of staff involved in patient safety incidents. Reflect on a healthcare’s professionals personal experience of being the subject of an incident investigation. Improve immediate support and debriefing when an incident occurs. Develop your skills in providing the staff member involved in a patient safety incident specific individual support or intervention to work safely. Understand how you can improve processes for ensuring candour and supporting staff. Identify key strategies for interviewing staff and taking statements and preparing staff for Coroner’s Inquests. Ensure you are up to date with the latest developments in psychological support for staff including building resilience. Self assess and reflect on your own practice. Gain CPD accreditation points contributing to professional development and revalidation evidence. Register