Draft Health Service Safety Investigations Bill

The draft bill proposes setting up the Health Service Safety Investigations Body (HSSIB). The HSSIB will conduct investigations which focus on learning from patient safety incidents in the NHS, to reduce health care harm and improve patient care. The draft bill allows...

Williams Review into gross negligence manslaughter in healthcare

The review makes recommendations to support a more just and learning culture in the healthcare system. It covers: the process for investigating gross negligence manslaughter reflective practice of healthcare professionals the regulation of healthcare professionals...

Measuring Safety Culture

This Health Foundation evidence scan provides a brief overview of some of the tools available to measure safety culture and climate in health care. Safety culture refers to the way patient safety is thought about and implemented within an organisation and the...

Revised Never events policy

The Never Events policy and framework sets out the NHS’s policy on Never Events. It explains what they are and how staff providing and commissioning NHS-funded services should identify, investigate and manage the response to them. It is relevant to all NHS-funded...

Human Factors in Healthcare Learning Podcasts

The following podcasts feature CHFG Trustees and supporters including: Martin Bromiley, Dr Rhona Flin and Dr Peter Jaye with other patient safety experts discussing patient safety. Part 1: What is quality in the aftermath of healthcare A fictional case study...

Systems thinking – a new direction in healthcare incident investigation

The Health Foundation’s Evidence into Practice Programme sponsored the production of a 3 minute animation led by Thomas Jun and Patrick Waterson at Human Factors and Complex Systems Research Group, Loughborough University. This highly engaging and insightful animation...