Westminster Health Forum

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

November 2019


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.

Speakers


There will be keynote contributions addresses from: Dr Nigel Acheson, Deputy Chief Inspector of Hospitals, CQC; Denise Chaffer, Director of Safety and Learning, NHS Resolution; Sir Robert Francis QC, President, The Patients Association; Dr Leslie Hamilton, Chair, Independent Review of Gross Negligence Manslaughter and Culpable Homicide; Dr Bill Kirkup, Chair, Independent Investigation, Failings at Liverpool Community Health; Fiona MacNeill, Clinical Lead, Breast Surgery, GIRFT and Erik Mayer, Consultant Urological Surgeon, Imperial College Healthcare NHS Trust.


The agenda


  • Implementation and the new national patient safety strategy;
  • Improving patient safety in the NHS and tackling the barriers to delivering safe care;
  • Patient, family and public engagement;
  • Education, training and professional regulation - promoting a fair and just culture in the workplace;
  • Regulation, reducing avoidable harm and progress since Opening the door to change;
  • The impact of investigations in the NHS - whistleblowing, transparency and moving forward with a culture change;
  • Learning from harm and reducing the cost of litigation in the NHS; and
  • 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, 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.



Price: £95 PLUS VAT
Format: DOWNLOADABLE PDF


Shortly after every Westminster Health Forum seminar, a briefing document is produced. This is distributed to all delegates on the day as well as to our policymaker contacts in government, and to stakeholders more widely.

A seminar publication provides a timely record of proceedings, and acts as a guide to the latest thinking on current policy issues for those unable to be at the event.

This publication includes

Presentations

Contributions from keynotes and panellists, including accompanying slides*
*Subject to approval


Delegate Pack

Information from the day, including delegate list, biographies and agenda

Q&A

Transcript of questions and comments posed to speakers from attending delegates


Articles

Supplementary articles from speakers
and delegates