At Patient Safety Learning we seek to harness the knowledge, insights, enthusiasm and commitment of health and social care organisations, professionals and patients for system-wide change and the reduction of avoidable harm.
The scale of this challenge remains immense. Each year, millions of patients suffer injuries or die because of avoidable harm in healthcare. The World Health Organization (WHO) states that in high-income countries 1 in every 10 patients is harmed when receiving hospital care. In the UK, the NHS pre-Covid estimate was that there were around 11,000 avoidable deaths a
1. Learning from transitioned providers – adopting the LFPSE service in an acute trust
Jackson Stubbs from University Hospitals of Morecambe Bay (UHMB) NHS Foundation Trust, describes his experience of leading his trust's switch from the NRLS) to the LFPSE service, his top tips, and what to avoid when planning your transition.
2. Learning from transitioned providers – adopting the LFPSE service in a mental health trust
The team at Cumbria, Northumberland, Tyne and Wear (CNTW) NHS FT share how they have found the switch from NRLS to the LFPSE service, their key learning points fr
LFPSE is a new central national service for recording and analysing patient safety events that occur in healthcare. Some NHS organisations are now using this system, instead of the NRLS, and all organisations will be expected to transition to this by 30 September 2023.
Concerns about the development and implementation of LFPSE
Patient Safety Learning welcomes much of the ambition behind the development of the new LFPSE service and its aim of creating a system from all parts of health and social care. However, in recent months staff have raised with us concerns about the development an
The publication of the New Patient Safety Incident Response Framework in August 2022 has shifted the focus towards identifying and investigating patient safety incidents and events that have the greatest potential to lead to learning and improvement. This conference focuses on patient safety learning – maximising learning and improvement from patient safety insight and events. The conference will support you to identify incidents and insight that has the greatest potential for improvement and use a range of system-based approaches for learning from patient safety incidents. The conference will
What has changed?
There have been a lot of conversations about the timeline, with many people saying that the initial date of March 2023 to switch was too challenging. There was also concern that there wouldn’t be enough time to transition to an approved LFPSE supplier if they needed to.
NHS England announced on 18 October that there will now be an optional six-month extension to the original transition timeline of 31 March 2023; however, there are still things which must be in place by this date despite the extension.
What you need to know
By 31 March 2023, providers must ha
LFPSE will initially provide two main services:
Record a patient safety event – organisations, staff and patients will be able to record the details of patient safety events, contributing to a national NHS wide data source to support learning and improvement. Once local systems are made compatible, larger organisations such as NHS trusts will record patient safety events to the national system via a direct upload from their Local Risk Management System (LRMS). Other organisations, such as primary care providers (see our dedicated primary care LFPSE webpage) can record patient safety ev