Patient Safety: Safer Culture-Safer Systems

  • Tuesday, 18 May 2021
  • The Royal National Hotel, London
  • 08:25 - 16:30
Expert Speakers
Sponsors & Supporters
  • Overview

Programme co-developed with:


Following the successful inaugural patient safety event, Open Forum Events now invites you to further consolidate knowledge and learning by attending the Patient Safety: Safer Culture-Safer Systems conference.

The Patient Safety Strategy was designed to deliver improvements in patient safety and standards. The ambition is to make the NHS the safest system in the world to receive healthcare and it is thought that the implementation of the strategy could save nearly 1000 extra lives per year from 2023/24, whilst saving £100 million in care costs.

One year on and the first yearly progress report has been published and despite the challenges faced due to Covid-19, improvements have been made against the ambitions laid out in the strategy. The evidence shows that safe care was delivered to 110,000 patients who have been treated for the virus to date in hospitals and other healthcare settings. Although the pandemic has impacted the pace of implementation of the strategy, it has also promoted positive change by promoting increased flexibility and adaptation, problem-solving at pace and more collaborative team working.

The Patient Safety: Safer Culture-Safer Systems conference will focus its attention to the measures being undertaken and the impact they are having on keeping patients safe from unintended or unexpected harm.

Delegates will gain:

  • An update on the progress made within the last year to improve patient safety across all healthcare settings, particularly with consideration to coronavirus
  • Knowledge of initiatives being undertaken in areas such as education and reporting, learning from other systems, understanding about human factors
  • An insight into exemplars of best practice where innovation and technology are supporting enhanced safety for patients, staff and all those entering the NHS environment

Once again, we are delighted to introduce an outstanding line up of contributors, willing to share knowledge, experience and insight through the plenary sessions, with ample opportunity for interactive engagement with the delegate audience. The agenda has been designed to allow for casual networking amongst fellow professional and contemporaries committed to providing a safer NHS.


The Patient Safety Strategy has 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 Insight, Improvement, Involvement.

The annual progress report for the NHS Patient Safety Strategy reveals that the progress in systems development include:

  • local teams are working closely with national leadership, while NHSX is enhancing its work to make sure digital innovation embeds principles of patient safety in every project;
  • the We are the NHS: People Plan 2020/21 was fully informed by patient safety principles;
  • with primary care continuing to be front and centre of people’s NHS – including face to face appointments being an ongoing requirement – we have involved those colleagues in our governance;
  • we continue to work closely with regulatory and oversight colleagues, such as those in the Medicines and Healthcare products Regulatory Agency (MHRA), the Care Quality Commission (CQC) and NHS Resolution, to ensure risks and issues are appropriately identified and responded to.

On Insight:

  • The national bodies that hold patient safety responsibilities have been brought together through the new National Patient Safety Committee, aligning work to tackle both urgent and long-term strategic challenges, and beginning to develop systems for oversight and arbitration of Healthcare Safety Investigation Branch (HSIB) recommendation delivery;
  • A key achievement has been mutually agreeing shared standards for National Patient Safety Alerts from all national bodies.COVID-19 has shown this work is more vital than ever, so that healthcare providers know what critical patient safety issues need co-ordinated action with executive support. Robust processes have accelerated development of an effective Alert, and the standing advisory panel of patient and public representatives, frontline staff and national expert organisations have been superbly responsive in providing advice within hours;
  • Alongside continued clinical and analytical review and deeper dives into incidents
    reported to the National Reporting and Learning Service each year, we were delighted to review the first incidents reported via Patient Safety Incident Management System in its alpha stages.

On Involvement:

  • The pandemic has created the opportunity to reflect on the real need for patient safety
    specialists in all NHS organisations, and their key role in ensuring patient safety is
    appropriately prioritised.
    Specialists provide an important route for two-way communication between the
    national patient safety team and the rest of the NHS, as well as enabling rapid sharing
    of learning between organisations. We are now developing networks for patient safety
    specialists, and how they can support established and developing integrated care
  • Recently, particular attention has been given to health inequalities and the lack of
    diversity in the NHS. An important way to address this is through increasing the
    involvement of a diverse mix of patients and the public in the running of their NHS
    organisations. This shows why the introduction of Patient Safety Partners is so
    important. The consultation on our draft Framework for Involving Patients in Patient
    Safety is ongoing but this presents a clear opportunity to support the equality agenda;
  • Another important point to note that has come out of our involvement work so far is
    that this work is going to have far-reaching and fundamental impacts on the success
    of our other strategy initiatives. For example, creating high quality education and
    training opportunities for patient safety specialists and patient safety partners will
    support the further development of the wider patient safety syllabus which is being led
    by Health Education England (HEE) and the Academy of Medical Royal Colleges
    (AoMRC). This in turn will have deep impacts on the ability of organisations to rise to
    safety challenges, to create the cultures that support continuous improvement and to
    ensure their staff are supported and enabled to do their best.

On Improvement:

  • Addressing inequalities and patient co-design: safety improvement
    interventions that represent the diversity and population served are coproduced and meet the needs of the most vulnerable in society;
    • Capacity and capability building: alongside clinical training, the
    requirement to train clinicians and managers in quality improvement and
    safety science;
    • Measurement for improvement: employing simple metrics that help us
    understand the baseline and the benefits of the improvement, allowing
    for rapid course corrections where interventions do not work, while
    minimising the data collection burden across the system;
    • Safety culture: create the conditions for a safety culture to flourish;
    • Safety improvement networks: build on existing networks to better share
    information and insights;
    • Clinical leadership: ensuring that clinical leaders are identified and





Read more
  • Confirmed Speakers

Event Sponsors and Supporters

  • Event Programme


Registration and Coffee in the Networking Area


Chair’s Opening Address

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

Keynote Address

"Delivering the Strategy- Implementation to make the NHS the Safest Healthcare System in the World The AHSN Network Contribution"

• Description of the AHSN Network
• Overview of the AHSN Network Safety Plan and how it will support the NHS Patient Safety Strategy
• Impacts, benefits and successes.
• Ways to get involved in your local AHSN and support patient safety wherever you work.

"A Lived Experience"

Amelia Newbold, Risk Management Lead, Browne Jacobson  (awaiting diary confirmation)

"The New Patient Safety Incident Response Framework (PSIRF)"

The PSIRF will support the NHS to operate systems, underpinned by behaviours, decisions and actions, that assist learning and improvement, and allow organisations to examine incidents openly without fear of inappropriate sanction, support those affected and improve services.


Main Sponsor


Question and Answer Session


Coffee in the Networking Area


Case Study

"Using Digital Data to improve safety outcomes and decision making."
  • Helen Higham, Co-Director of the Oxford Patient Safety Academy Consultant Anaesthetist John Radcliffe Hospital Oxford , University of Oxford John Radcliffe Hospital Oxford (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.

  • Justine Sharpe, Regional Safety and Learning Lead (London), NHS Resolution (confirmed)
"Learning from Claims: NHS Resolution Insights"

Sharing the recurrent investigative themes and recommendations from NHS Resolution to reduce claims. Gain an understanding of why patients and families claim and what patients and staff want following harm. Hear and access free support materials to improve claims risk management that can be applied locally to support improve both patient and staff safety.


Case Study


Question and Answer Session


Lunch in the Networking Area

A hot, two-course lunch consisting of multiple options will be provided for delegates. We cater for all dietary requirements, including vegetarian, vegan and gluten/dairy-free; just notify us ahead of time should you have any allergens or requirements.


Chair’s Afternoon Address


Case Study


Helen Hughes, Chief Executive , Patient Safety Learning (confirmed)
Julie Coombes, Head of Clinical Education Transformation, Health Education England (awaiting diary confirmation)

"How is Education and Training Improving Patient Safety? How Much More Needs to Be Done? "

Patient safety should be a golden thread of learning that connects all staff working in the NHS, across all disciplines, from apprentice and undergraduate right through to retirement. The NHS cannot expect to achieve improvements in patient safety if it is not embedded within education and training.


Jules Storr MBA, MHS, RGN, Director and Founder , S3 Global Health Consultants and World Health Organisation (WHO) (awaiting diary confirmation)
Claire Kilpatrick MSc Med Sciences, RGN, Directors and Founder, S3 Global Health Consultants and World Health Organisation (WHO) (awaiting diary confirmation)

"Safety Leadership and Learning from other Healthcare Systems for Implementation"

Although healthcare systems differ from country to country, improving patient safety encounters similar challenges. The NHS can benefit from discovering successful practices from elsewhere in the world and learn from what has not worked so well. 


Question and Answer Session


Afternoon Refreshment Break



  • Luke Brown, Senior Charge Nurse, Emergency Department, Homerton University Hospital, NHS Foundation Trust (confirmed)
"Action Card App – Aiming to Improve Patient Safety "

This is Homerton’s Story, on developing and integrating a technology into practice that aims to improve patient safety. We will outline our concept, planning, how we integrated, and how we keep momentum.



Speaker TBC


Question and Answer Session


Chair’s Closing Remarks and Event Close

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Luke Boulter
  • 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 progress made against the objectives of the Patient Safety Strategy; the principles and priorities on which it will promote improvements in safety
  • Better understand how human factors influence patient safety
  • Become more knowledgeable about how education and training is improving patient safety and how much more needs to be done?
  • Hear how robust and resilient the patient safety standards have been during the pandemic
  • Acquire insight into how to reduce litigation and claims
  • Gain insight as to how the National Reporting and Learning System (NRLS) will be superseded by the New Patient Safety Incident Management system (PSIMS)
  • 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


  • Contact Details
  • Sponsors
  • Supporters
  • Venue
  • Featured Events
  • Downloads
  • Who will attend

Contact Details




The Royal National Hotel, London

The Royal National Hotel, London

Offering breathtaking views across Russell Square the hotel is within easy walking distance to the British Museum. Well located with Russell Square underground station a 2 minute walk away.

Featured Events

  • A New Strategy for Patient Safety-Insight, Involvement, Improvement

    • 16 October 2019
    • 08:30 - 16:30
    • The Studio, Manchester

Downloads & Resources

  • Open Forum Events Sponsorship Brochure
    Open Forum Events offer a number of partnership, sponsorship and exhibition opportunities that can meet your marketing and business development needs.
  • NHS Patient Safety Strategy.pdf
    NHS Patient Safety Strategy.pdf

who will attend

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
Patient Experience Leads
Patient Safety Managers
Programme Directors
Specialist Nurses
Trust Board Members
Ward Managers