Westminster Health Forum

Improving patient safety in the NHS: culture change, regulation and implementing the national patient safety strategy

Morning, Thursday, 31st October 2019

Central London

THIS EVENT IS CPD CERTIFIED



This seminar will be a timely opportunity to discuss the priorities for improving patient safety in the NHS - looking at:


  • implementing the national NHS Patient Safety Strategy,
  • moving forward with a culture change, and
  • next steps for policy.

The agenda and keynote speakers


Keynote contributions:


  • Improving patient safety in the NHS and tackling the barriers to delivering safe care - with Erik Mayer, Clinical Senior Lecturer, Imperial College London;
  • The new national patient safety strategy and patient, family and public engagement - with Sir Robert Francis QC, Chair, Healthwatch England; President, The Patients Association and Non-Executive Director, CQC;
  • Education, training and professional regulation: promoting a fair and just culture in the workplace - with Dr Leslie Hamilton, Chair, Independent Review of Gross Negligence Manslaughter and Culpable Homicide;
  • Regulation, reducing avoidable harm and progress since Opening the door to change - with Dr Nigel Acheson, Deputy Chief Inspector of Hospitals, CQC;
  • The impact of investigations in the NHS - whistleblowing, transparency and moving forward with a culture change - with Dr Bill Kirkup, Chair, Independent Investigation, Failings at Liverpool Community Health;
  • Learning from harm and reducing the cost of litigation in the NHS - with Denise Chaffer, Director of Safety and Learning, NHS Resolution; and
  • Implementing the new national patient safety strategy.

Panel session:


  • Priorities for delivering safe care across health and social care: preventing safety failures, the role of technology and the impact of leadership.

Case study:


  • The role of GIRFT in eliminating unwarranted variation in patient safety - with Fiona MacNeill, Consultant Breast Surgeon, Royal Marsden NHS Foundation Trust and Clinical Lead, Breast Surgery, GIRFT. 

Strategy delivery and key aims


Following the recent announcement of a new NHS Patient Safety Strategy, delegates will assess key issues for delivery moving forward.


We expect discussion on:


  • engaging with patients and families,
  • the role of technology in improving patient safety, and
  • fostering a culture of transparency and accountability - including the roles and challenges for leadership, and for the health and care workforce.

Regulation, training, culture change and trust


The agenda looks at the effectiveness of regulation in improving safety.


It follows the CQC’s annual report and Opening the door to change report, which concluded that the education and training of healthcare staff needed improvement in order to reduce Never Events - and that a culture change and collaborative approach was required to make this happen.


The conference will also be an opportunity to assess the key issues for professional regulation and the next steps to achieve a learning and not a blaming culture in the NHS.


It takes place in light of the Independent review of gross negligence manslaughter and culpable homicide, and the recommendations that the GMC must repair their relationship with doctors to regain trust.


Investigations and whistleblowing


Attendees will discuss the impact of investigations in changing cultures of safety in the NHS and the role of whistleblowing in improving the safety of healthcare systems and processes - following the announcement of the investigation into Failings at Liverpool Community Health, which aims to identify opportunities for learning.


We also expect findings from investigations conducted by the Healthcare Safety Investigation Branch to be assessed - such as the recommendations to NHS England and NHS Improvement to expand the remit of the Cross-System Sepsis Board in the Investigation into recognising and responding to critically unwell patients.


Reducing avoidable harm


Further sessions examine what more could be done to reduce avoidable harm, learn from harm when failures occur and address the rising cost of clinical negligence in the NHS - including the progress of programmes such as GIRFT in reducing unwarranted variation in patient safety.



Keynote Speakers

Sir Robert Francis QC

Chair, Healthwatch England; President, The Patients Association and Non-Executive Director, CQC

Denise Chaffer

Director of Safety and Learning, NHS Resolution

Dr Leslie Hamilton

Chair, Independent Review of Gross Negligence Manslaughter and Culpable Homicide

Dr Bill Kirkup

Chair, Independent Investigation, Failings at Liverpool Community Health

Dr Nigel Acheson

Deputy Chief Inspector of Hospitals, CQC

Fiona MacNeill

Consultant Breast Surgeon, Royal Marsden NHS Foundation Trust and Clinical Lead, Breast Surgery, GIRFT

Keynote Speakers

Dr Nigel Acheson

Deputy Chief Inspector of Hospitals, CQC

Erik Mayer

Consultant Urological Surgeon, Imperial College Healthcare NHS Trust and Clinical Senior Lecturer, Imperial College London

Fiona MacNeill

Consultant Breast Surgeon, Royal Marsden NHS Foundation Trust and Clinical Lead, Breast Surgery, GIRFT

Sir Robert Francis QC

Chair, Healthwatch England; President, The Patients Association and Non-Executive Director, CQC

Denise Chaffer

Director of Safety and Learning, NHS Resolution

Dr Leslie Hamilton

Chair, Independent Review of Gross Negligence Manslaughter and Culpable Homicide

Dr Bill Kirkup

Chair, Independent Investigation, Failings at Liverpool Community Health

Chair

Sir Bernard Jenkin MP

Chair, Joint Committee on the Draft Health Service Safety Investigations Bill (2018), House of Commons

Speakers

Damian Bridgeman

Board Member, Social Care Wales and Fellow, Centre for Welfare Reform

Senior speaker confirmed from The Doctors’ Association UK

Dr Pallavi Bradshaw

Senior Medicolegal Adviser and Lead for Education, Medical Protection Society