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Next steps for improving patient safety in the NHS - whole system learning, opportunities for regulation, patient involvement, and the role of the HSIB

Morning, Tuesday, 22nd February 2022


This will be an important opportunity to examine the next steps for improving patient safety in the NHS in the context of the ongoing pandemic, the updated Patient Safety Strategy, and the MHRA consultation launched to improve patient safety and regulation around medical devices.


Delegates will also discuss priorities in the context of the Health and Care Bill, which includes measures aiming to strengthen the role of the Healthcare Safety Investigation Branch (HSIB) in improving patient safety.


Key areas for discussion include:

  • system learning - assessing approaches, sharing best practice, supporting the workforce, education and training, and building a learning culture
  • patient involvement - examining priorities for involving patients and the public within patient safety
  • regulation - options for a more flexible and adaptable approach
  • clinical negligence - how best to improve the negligence system
  • the role of the HSIB - including its scope going forward and informing whole system learning
  • COVID-19 - looking at what has been learned for patient safety and how best to drive improvements in recovery from the pandemic and into the future

We are pleased to be able to include keynote contributions from:

  • Nigel Acheson, Deputy Chief Inspector of Hospitals, Care Quality Commission - on opportunities for improving regulation and reducing avoidable harm
  • Rob Behrens, Parliamentary and health Service Ombudsman - on the way forward for improving patient safety and the priorities for the Health and Care Bill
  • Keith Conradi, Chief Investigator, HSIB - on the expanding role of the HSIB, the potential impact on the most serious patient safety risks, and opportunities for whole system learning
  • Professor Kevin Harris, Programme Director and Clinical Advisor, Interventional Procedures Programme, Centre for Technology Evaluation, NICE - on the role of NICE in improving patient safety within the NHS
  • Justine Sharpe, Safety and Learning Lead, London NHS Resolution - on addressing the rising costs of clinical negligence in the NHS
  • Lucy Watson, Chair, The Patients Association - on listening to service users and learning from failures

We also expect discussion on what has been learned for patient safety during COVID-19 and how best to drive improvements both in the recovery from the pandemic and into the future.


The discussion is bringing together stakeholders with key policy officials who are due to attend from the CQC; the DHSC; States of Guernsey; and the Welsh Government - as well as parliamentary pass-holders from the House of Lords.



Keynote Speakers

Keith Conradi

Chief Investigator, Healthcare Safety Investigation Branch

Nigel Acheson

Deputy Chief Inspector of Hospitals, Care Quality Commission

Lucy Watson

Chair, The Patients Association

Rob Behrens

Parliamentary and Health Service Ombudsman

Professor Kevin Harris

Programme Director and Clinical Advisor, Interventional Procedures Programme, Centre for Health Technology Evaluation, NICE

Keynote Speakers

Professor Kevin Harris

Programme Director and Clinical Advisor, Interventional Procedures Programme, Centre for Health Technology Evaluation, NICE

Nigel Acheson

Deputy Chief Inspector of Hospitals, Care Quality Commission

Lucy Watson

Chair, The Patients Association

Justine Sharpe

Safety and Learning Lead, London, NHS Resolution

Keith Conradi

Chief Investigator, Healthcare Safety Investigation Branch

Rob Behrens

Parliamentary and Health Service Ombudsman

Chairs

Baroness Cumberlege

Co-Chair, All-Party Parliamentary Group First Do No Harm

Rosie Cooper MP

Member, Health and Social Care Select Committee

Speakers

Professor Peter Johnston

Vice President for Professionalism, Royal College of Pathologists; Consultant Histopathologist, NHS Grampian

Peter Walsh

Chief Executive, Action Against Medical Accidents

Dr Bill Kirkup

Chairman, Morecambe Bay Investigation

Dr Robert Hendry

Medical Director, Medical Protection Society

Dr Alex Crowe

Safety and Learning Deputy Director, NHS Resolution

Professor Joe Rafferty

Chief Executive and Chair, Mersey Care NHS Foundation Trust

Mike Fairbourn

Vice President and General Manager, Becton Dickinson UK and Ireland