The Human Factor – Learning from Gina’s story

Joint Committee published report on Health Service Safety Investigations Bill

The House of Lords and House of Commons created a Joint Select Committee to review the draft Health Service Safety Investigations Bill.  This Committee was appointed to gather evidence and give feedback on the draft Bill.  CHFG consulted with experts to provide...

World Health Organisation – 10 global facts on Patient Safety

According to research by the World Health Organisation, patient safety is a serious global public health concern. There is a 1 in a million chance of a person being harmed while travelling by plane. In comparison, there is a 1 in 300 chance of a patient being harmed...

HSIB Investigation report – transition from child mental health services to adult

This investigation followed the Healthcare Safety Investigation Branch being notified of an 18-year-old who died by suicide shortly after transitioning from child and adolescent to adult mental health services. The investigation identified possible issues regarding...

Updated Just Culture Guide – NHS Improvement

NHS Improvement have updated their Just Culture Guide. To download click here

HSIB first national investigation report – wrong prosthesis

The Healthcare Safety Investigation Branch (HSIB) has published its first investigation report relating to a surgical never event. The patient is a 63-year-old man who underwent hip replacement surgery. During this surgery, incompatible components were used. The error...