A New Strategy for Patient Safety-Insight, Infrastructure, Initiatives

  • Wednesday, 16 October 2019
  • Manchester Conference Centre
  • 08:30 - 16:30
  • Overview

“Patient Safety is the avoidance of unintended or unexpected harm to people during the provision of healthcare”.

Although the NHS strives to provide patients with the safest possible care, there are times, unfortunately, when things go wrong. Around two million patient safety related incidents are reported every year, with most occurring within the acute, mental health and community care sectors.

The NHS Long Term Plan highlighted several safety issues that need to be addressed; the fear of blame and retribution which curtails reporting and learning, lack of staff understanding of patient safety matters and workforce issues. With the aim to make the NHS the safest healthcare system in the world, a new strategy for patient safety sets out plans to focus on continuous learning and measurable improvement.

Based on three principles which are; A Just Culture, Openness and Transparency and Continuous Improvement, the strategy recognises three areas of work priority: Insight, Infrastructure and Initiatives.


A New Strategy for Patient Safety-Insight, Infrastructure, Initiatives is a conference designed to bring together all stakeholders who have a responsibility to deliver safe patient care. The conference will provide delegates with improved insight of:

- The aims of the strategy and the principles on which it has been created

- The areas of work identified as priority and the elements within them that will bring about quality improvement

- The strategy implementation, including the latest developments and initiatives to deliver the desired results


Through the agenda, delivered by key expert speakers, delegates will gain an essential update on the future direction of patient safety within the NHS and hear how it intends to become the safest place in the world to receive treatment. 


“Every patient – whether in hospital, at home, in a GP surgery – expects compassionate, effective and safe care. To achieve that, we need to improve learning, we need to better shout about the work that the best trusts are doing, and the NHS must be as open and transparent as we can.” Matt Hancock, Secretary of State for Health and Social Care


The State of Care report by the CQC states that safety is the most significant cause for concern within the NHS. To support safety improvement, the new strategy proposes national action to ensure patients receive safer care. It aims to concentrate on the key areas of concern which are based upon the amount of harm caused, where mitigation is highest, and where the greatest levels of variation occur. Across these three areas the ambition is to reduce avoidable harm by 50% including the occurrence of ‘never event’s and medication errors.


There are three guiding principles:

A Just Culture- Blaming people for non-malicious errors is not conducive to improved safety. The focus should be on changing systems and procedures to allow people to conduct their job more safely.

Open and Transparency-Encouraging staff to be open and honest when mistakes happen allows for shared discussion, learning and revisions to be made.

Continuous Improvement-A continuous focus to make quality improvements to the system by assessing what needs to be improved, how changes will make things better and how the impact can be measured. Empowering staff and patients to recognise and respond is crucial.   


The three areas of work identified as priorities are:


As part of the insight theme, the aim is for an improved ability to draw insight from multiple sources of information by acquiring, reviewing, understanding, analysing and exchanging patient safety data. The National Reporting and Learning System (NRLS) will be replaced by a new system, the Patient Safety Incident Management System. Within this system, the use of new technologies, such as Artificial Intelligence and Machine Learning and new techniques, such as Safety-II, can be utilised to best effect.



It is important that all staff have the skills and tools to influence patient safety. A universal safety curriculum is to be developed for all staff and a network of safety specialists plus a dedicated patient safety support team are to be created to support the capability and capacity of staff to improve levels of safety.



The ambition to deliver a 50% reduction in measurable harm is to be achieved through effective improvement initiatives such as the Patient Safety Collaboratives (PSC) programme, the falls collaborative programme, the Stop the Pressure programme (STPP), plus specialised work in mental health and maternal and neonatal health.


This conference, A New Strategy for Patient Safety-Insight, Infrastructure, Initiatives, will populate the strategy’s template with detailed information and practical guidance on the future plans for improved patient safety throughout the NHS.

Read more
  • Confirmed Speakers

Event Supporters

  • Event Programme


Registration and Coffee in the Networking Area


Chair’s Opening Address

  • Helen Hughes, Chief Executive , Patient Safety Learning (confirmed)

Keynote Address

Speaker TBC

"Supporting the NHS to be the Safest Healthcare System in the World"

The new strategy for patient safety is designed to develop the NHS into the safest healthcare system in the world. It will focus on three principles that should underpin implementation of
the strategy: a just culture, openness and transparency and continuous improvement. The strategy aims to: draw insight from multiple sources of patient safety information; give staff at all levels the skills and support they need to help improve patient safety and decrease harm in key areas by 50% by 2023/24.


Speaker TBC, Royal College of Physicians (confirmed)

"Understanding the Issues that Contribute to Breaches in Safety"

A national report by the CQC found that too many people are being injured or suffering unnecessary harm because NHS staff are not supported by sufficient training, and because the complexity of the current patient safety system makes it difficult for staff to ensure that safety is an integral part of everything they do. In another report, all hospitals told the CQC that patient safety was their top priority, but too often they did not have an effective safety culture or reliable systems to ensure this.

"Supporting a Transparent Culture of Fairness, Openness and Learning "

One of the guiding principles of the Patient Safety Strategy is Openness and Transparency.
Adopting a ‘Just Culture’ enables staff to speak up when things have gone wrong, rather than fear blame and punishment. Supporting staff to be open and honest allows for learning from the mistakes and changes to be made to improve future safety, thus promoting another of the strategies principles of Continuous Improvement.


Main Sponsor


Question and Answer Session


Coffee in the Networking Area


Case Study


Dr Carl Macrae, Patient Safety Learning Adviser. Patient Learning (invited)

" Developing Education, Knowledge, Skills and Understanding"

To better equip staff to deal with patient safety there are proposals for a patient safety curriculum for all current and future NHS staff, the development of a network of senior patient safety specialists and the establishment of a dedicated patient safety support team that can be assigned to organisations that are particularly challenged in relation to safety.


Robert Johnstone FRSA, Patient Advocate - International Foundation for Integrated Care (IFIC), European Forum for
Good Clinical Practice (EFGCP) & Health Quality Improvement Partnership (HQIP) (confirmed)

"Safe Healthcare- The Patient's Experience"

Case Study


Question and Answer Session


Lunch in the Networking Area


Chair’s Afternoon Address


Case Study


Speaker TBC

"The Rise of the Machines-Adopting Cutting Edge Technologies"

Artificial intelligence (AI) and Machine Learning (ML) are being touted as the next-generation of technology to transform healthcare. Whilst there is evidence to support patient safety there are concerns with regards to responsible implementation.


Dr Helen Higham, Co-director of the Patient Safety Academy (confirmed)

"Human Factors Approach to Patient Safety"

The Patient Safety Academy has been formed from collaboration between two research groups in the University of Oxford, with expertise in patient safety, human factors/ergonomics and improvement science; the Quality, Reliability, Safety and Teamwork Unit (QRSTU) and Oxford Simulation Teaching and Research (OxSTaR).Project support involves provision of human factors patient safety training to all team members involved in a project. The PSA team provide support which enables the staff to choose the areas of concern they want to focus on, work together to generate potential solutions and then trial these solutions. The result is staff –led projects with improvements which fit their service and with successes and learning they can share with other teams.


Question and Answer Session


Afternoon Refreshment Break

  • Mandy Townsend, Associate Director Patient Safety Organisation , Innovation Agency (confirmed)
"Improving Safety in Maternal and Neonatal Services"

The ambition for the NHS is to be one of the safest places in the world to give birth and aims to halve the rates of stillbirth, maternal and neonatal deaths and birth-related brain injuries in babies by 2030.


Scott Morrish, Campaigner and Bereaved Parent (invited)

"A Lived Experience"

Question and Answer Session


Chair’s Closing Remarks and Event Close

  • Register for event

  • Discover the reality of how well the NHS keep patients safe once they enter the system
  • Learn more about the government’s ambitions to make the NHS the safest healthcare system in the world
  • Be informed as to the contents of the new Patient Safety Strategy; the principles and priorities on which it will promote improvements in safety
  • Better understand how breaches of safety occur and the factors that contribute to patients being injured or suffering unnecessary harm
  • Hear how openness and transparency can be embedded throughout the NHS and a ‘just culture’ adopted
  • Gain insight as to how the National Reporting and Learning System (NRLS) will be superseded by the New Patient Safety Incident Management system (PSIMS)
  • Discover how Artificial intelligence (AI) and Machine Learning (ML) are expected to be the next-generation of technologies to transform healthcare
  • Listen to experts discuss the strategies and practices that will realise the government’s ambition to reduce healthcare associated Gram-negative bloodstream infections (GNBSIs) by 50% by 2020/21
  • Receive an update on the initiatives that are set to improve safety within maternal and neonatal services
  • Benefit from the opportunity to question, discuss and debate current working practices and those for the future
  • Share best practice and contribute to learning
  • Take advantage of knowledge sharing and professional networking
  • Gain CPD credits


  • Supporters
  • Venue
  • Downloads
  • Who will attend



Manchester Conference Centre

Manchester Conference Centre

Manchester Conference Centre is the ideal solution when searching for conference venues in Manchester. Top-of-the-range conference suites, 3 star value hotel accommodation, delicious dining and friendly service are the ideal components for a successful conference or event in the heart of the city centre.

The 18 conference rooms are decked out with all the mod cons including state-of-the-art AV technology, projectors and screens, free Wi-Fi and flip charts. Our clients cover the whole spectrum and include government organisations, trade unions, large corporate companies, non-profit organisations, health and education sectors and small to medium-sized businesses.

From the get-go we strive for excellence in everything we do and our dedicated team of conference professionals go all out to make sure your conference, event or exhibition runs like clockwork.

Downloads & Resources

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who will attend

  • Academics/Researchers
  • Chairs/Members of CCGs
  • Chief Clinical Operations Officers
  • Chief Executives
  • Chief Medical Officers
  • Clinical Directors
  • Clinical Standards & Patient Experience
  • Directors of Infection Prevention and Control
  • Directors of Public Health
  • Directors/Heads of Service Improvement
  • Directors/Heads of Strategic Development
  • Directors/Managers of Commissioning
  • Estate and Facilities Managers
  • General Practitioners
  • HCAI Managers
  • Heads of Charities
  • Heads of Innovation
  • Heads of Maternity Services
  • Heads of Nursing
  • Heads of Patient Care
  • Heads of Patient Safety
  • Heads of Pharmacy
  • Heads of Quality & Care
  • Heads of Risk & Compliance
  • Health & Safety Managers
  • HR Directors/Managers
  • Infection Control Leads
  • Inspection Managers
  • Medical Directors
  • Microbiologists
  • Patient Experience Leads
  • Patient Safety Managers
  • Programme Directors
  • Specialist Nurses
  • Surgeons
  • Trust Board Members
  • Ward Managers