The Improvement Journey Publication

The Health Foundation’s new report The Improvement Journey, is a practical guide to developing an organisation-wide approach to improvement. It shows why this approach is critical to becoming a high performing organisation and delivering the NHS Long Term Plan....

HSIB investigation report – wrong route medication error

HSIB have launched their latest investigation report in April 2019. The reference event A nine-year-old child was admitted to a hospital day case ward for an elective renal biopsy, which involves taking a small piece of kidney using a special needle. The procedure can...

HSIB investigation Report Piped supply of medical air and oxygen

HSIB have launched their latest report and recommendations into the piped supply of medical air and oxygen. Full Report Summary...

HSIB report on the transfer of critically ill adults

The Healthcare Safety Investigation Branch has launched its latest report regarding the transfer of ill adults. This guide illustrates the lack of National guidance and standard practice for ambulance transfers for adults that are critically ill. The report sets out...

New government Patient Safety Strategy Consultation

The Secretary of State for Health and Social Care recently launched the NHS 10-year plan. Alongside this plan we are delighted to see that the government are developing proposals for a new National Patient Safety strategy which will aim to underpin three principles:...

Opening the door to change – CQC report on Never Events

The Secretary of State for Health and Social Care asked the CQC to work with NHS Improvement to look at issues in NHS trusts that contribute to Never Events taking place. Never Events are incidents with the potential to cause serious patient harm or death that are...