Patient Safety: Safer Culture - Safer Systems

  • Tuesday, 23 November 2021
  • Ambassadors Hotel, Bloomsbury, London
  • 08:25 - 17:00
Expert Speakers
Sponsors & Supporters
  • Overview

The Patient Safety: Safer Culture - Safer Systems conference will provide continued professional development to support the target of making our NHS the safest system in the world to receive healthcare.

The programme will help you to develop further knowledge of the patient safety incident response framework (PSIRF), the NHS Patient Safety Strategy and other programmes being introduced to support constructive reviews of circumstances where care does not go as intended, openly - without fear of inappropriate sanction, supportive of those affected, with the guiding principal of improving services.

Our fully CPD Accredited programme of expert speakers will feature an overview of the challenges and opportunities ahead with guidance from organisations such as Patient Safety Learning, Health Innovation Network, Care Quality Commission and NHS Resolution to name a few.

Open Forum Events are delighted to be gaining a reputation for “truly inspirational” health and social care conferences. Our delegates are telling us that they leave our events with “new ideas and approaches” they can "actually apply" within their own organisations.

Join us to Learn more about innovations in patient safety adopted and scaled-up in response to the pandemic that have proved vital in avoiding unnecessary hospital admissions and remote monitoring that must be sustained to cope with the backlog and winter pressure. Hear case studies outlining how NHS Trusts adopted these technologies - such as the highly effective Oximetry @ Home, from concept, to planning and integration. The event aims to improve understanding of human factor interventions in patient safety, hear from organisations providing provision of human factors patient safety training to all team members involved in a project, providing support that enables staff to choose the areas of concern they want to focus on; working together to generate, trial and implement solutions.

  • 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)

Helen is an experienced leader in organisational effectiveness and transformational change. She has held healthcare leadership roles globally with the World Health Organisation(WHO) where she led the global 'Patients for Patient Safety' programme and in the UK, where she serves as Chief Executive of the National Patient Safety Agency. Helen has also held leadership positions at the Equality and Human Rights Commission (EHRC), Parliamentary Health Services Ombudsman and the Charity CommissionHer passion for improved patient safety is informed by personal family insight into the impact of unsafe care and the ineffectiveness of organisational responses to learn from error.


Keynote Address

  • Catherine Dale, Programme Director - Patient Safety and Experience, Health Innovation Network (confirmed)
"Oximetry @ Home and Covid Virtual Wards"

Amongst a number of Health Innovation Network (HIN) contributions to the local and national NHS response to Covid-19, the work of its Patient Safety and Experience team stands out as an example of the positive impact Academic Health Science Networks can have on clinical priorities. The Oximetry @ Home programme enabled patients to remain at home, supported by hospital clinicians rather than than be admitted to hospital for observation in case they deteriorated.


Oximetry @ Home involved deploying personal monitoring tools to people diagnosed with Covid-19 that could spot the signs of deterioration and allow for timely clinical intervention. This new model of care posed unfamiliar challenges for clinicians treating a high-risk group of patients, but proved vital in avoiding unnecessary admissions, enabling hospital resources to be focused on patients with the greatest need and helping patients feel safe at home knowing that they would be admitted to hospital if they needed more intensive interventions.


The HIN was perfectly placed to support the implementation of pathways that helped patients and clinicians make use of the 72,000 oximeters that had been distributed throughout London. After Christmas, with hospitals facing unprecedented pressure during the second wave of covid, the team switched their attention to turning the vision of 'covid virtual wards' into a reality. Working at extreme pace, the team provided project management and implementation expertise to support clinicians to monitor and provide care to Covid-19 patients remotely. At peak times, this innovation supported hundreds of patients to be safely monitored on 'virtual wards' outside of hospital settings.


Jen Gilroy-Cheetham (confirmed)

"Lived Experience - Actors on a Stage"

In the scariest moments of our lives, we need to feel safe. Jen Gilroy-Cheetham’s life changed forever six months after having her second child when she was diagnosed with a rare neuroendocrine tumour and advised she would need to undergo open surgery to have half of her stomach removed. Complications led to a intensely challenging set of circumstances - a full gastrectomy, that Jen, now recovered, shares as her patient experience from a hospital bed, watching all of the healthcare staff around her - actors on a stage - doing what they could to make her feel safe. In reliving her journey, Jen highlights what’s needed within a healthcare setting to deliver patient safety.


Headline Supporter


Question and Answer Session

Catherine Dale, Programme Director - Patient Safety and Experience, Health Innovation Network (confirmed)

Jen Gilroy-Cheetham, Sharing her patient experience (confirmed)

Speaker TBC


Coffee in the Networking Area

"CQC: The State of Health Care and Adult Social Care in England"

This presentation will explore findings from the 2021 State of Care report - the CQC's annual assessment of health care and adult social care in England. The report examines trends, shares examples of good and outstanding care, as well as highlighting where care needs to improve.


Ted Baker was appointed Chief Inspector of Hospitals at the Care Quality Commission in 2017. He first joined the NHS in 1973 and later, after qualifying as a doctor, worked in hospitals for 35 years in a career encompassing clinical and academic medicine and hospital management. Ted trained as a paediatric cardiologist and was a clinical academic at King’s College, London. He was a pioneer of magnetic resonance imaging of the heart, setting up new programmes in centres both in the UK and the USA. He has had a series of senior clinical leadership roles in two major academic centres and was the driving force behind the establishment of a new children’s hospital in London.

  • 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.


NHS Resolution is an arm’s-length body of the Department of Health and Social Care, providing expertise to the NHS on resolving concerns and disputes fairly, sharing learning for improvement and preserving resources for patient care.


Case Study

This slot is reserved for organisations looking to engage delegates with services and opportunities that compliment conference presentation and discussion panel topics. If you're interested in delivering a Case Study, contact us on 0161 376 9007.


Question and Answer Session

Professor Ted Baker, Chief Inspector of Hospitals, Care Quality Commission (CQC) (confirmed)

Justine Sharpe, Regional Safety and Learning Lead (London), NHS Resolution (confirmed)

Speaker TBC


Lunch in the Networking Area

We'll be working with venues to ensure lunch at our events is as delicious as ever and caters for a range of dietary preferences - whilst being served in a safe and seamless manner. Some of the new measures we will be introducing to this effect are:

  • One-way queuing systems with safe distancing in operation.
  • Individual snacking bags containing fruit, trail mix and sweets provided on arrival - this will prevent people mixing around snack bars during networking breaks.
  • Individually portioned dishes and pre-sealed cutlery will be served at collection points.  

Where possible, we will request food is sourced locally to reduce food miles, use seasonal vegetables, red tractor certified meat and eggs from free range hens.


Chair's Afternoon Address

  • Helen Hughes, Chief Executive, Patient Safety Learning (confirmed)
"How is Education and Training Improving Patient Safety? How Much More Needs to Be Done? "

Patient safety should be a 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 curriculums and training.


Afternoon Keynote

  • Dr Sean Weaver, Deputy Medical Director, Healthcare Safety Investigation Branch (confirmed)

Most harm in healthcare comes from problems within systems and processes that determine how care is delivered. Healthcare Safety Investigations Branch (HSIB) investigators work closely with patients, families and healthcare staff affected by patient safety incidents to identify any factors that have harmed or may do harm to patients, making recommendations to increase the quality of healthcare systems and processes in pursuit of improving patient safety and reducing risk.


Recent investigations undertaken by HSIB include:

  • A patient safety risk involving the timely detection and treatment of non-malignant spinal cord compression (cauda equina syndrome).
  • Covid 19: Response of NHS 111 to callers reporting potential symptoms of COVID-19 during the pandemic as well as the provision of piped oxygen gas supplies to hospitals.
  • Insights into how NHS staff are supported by their Trusts following patient safety incidents, with a focus on good practice.
  • Helen Higham, Co-Director of the Oxford Patient Safety Academy and Consultant Anaesthetist, Oxford University Hospitals NHS Trust (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 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.


Case Study

This slot is reserved for organisations looking to engage delegates with services and opportunities that compliment conference presentation and discussion panel topics. If you're interested in delivering a Case Study, contact us on 0161 376 9007.


Question and Answer Session

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

Dr Sean Weaver, Deputy Medical Director, Healthcare Safety Investigation Branch (confirmed)

Helen Higham, Co-Director of the Oxford Patient Safety Academy and Consultant Anaesthetist, Oxford University Hospitals NHS Trust (confirmed)

Speaker TBC


Afternoon Refreshment Break

  • Luke Brown, Senior Charge Nurse, Emergency Department, Homerton University Hospital NHS Foundation Trust (confirmed)
  • Hayley Bird, Clinical Specialist, Medication Delivery Solutions, Becton Dickinson UK (confirmed)
"HUH Action Card App"

Presentation synopsis coming soon...


Case Study

This slot is reserved for organisations looking to engage delegates with services and opportunities that compliment conference presentation and discussion panel topics. If you're interested in delivering a Case Study, contact us on 0161 376 9007.


Speaker TBC

"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 exploring successful practices from elsewhere in the world and learn from what has not worked so well. 


Question and Answer Session


Chair’s Closing Remarks and Event Close

  • Register for event

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Luke Boulter
  • Gain 10 CPD Points.
  • Learn more about programmes and new ways of working being being introduced to meet ambitions set out in the NHS Patient Safety Strategy, including the new Patient Safety Incident Response Framework (PSIRF) superseding the current Serious Incident Framework; the patient safety specialists initiative, national patient safety syllabus and Patient Safety Incident Management System (PSIMS).
  • Network, share knowledge and develop best practices for embedding patient safety ethos across healthcare and learning settings with NHS leaders, World Health Organisation (WHO) consultants, Health Education England, policy makers, academics, senior clinicians and hospital directors.
  • Learn about the role of the 15 Academic Health Science Networks (AHSN) and the Patient Safety Collaboratives (PCNs) as delivery agents of the Patient Safety Strategy; developing new ideas and ways of working with the potential to make a big impact on patient safety - reducing mortality rates, length of hospitalisations and cost of services.
  • Develop a deeper understanding of how human factors can be applied to improve patient safety.
  • Identify institutional opportunities to allow staff to examine incidents where care does not go as planned openly, without fear of inappropriate sanction, in a manner that supports those affected and improves service(s) provision.
  • Listen to recurrent investigative themes and recommendations from NHS Resolution as to how learning and improvements can be made in the face of patients and families claiming against the NHS in circumstances where care does not go as intended - access free support materials to improve claims risk management that can be applied locally to improve both patient and staff safety.
  • Learn from case studies of NHS Trusts adopting digital technologies like apps and remote monitoring devices to improve patient safety, outlining the journey from concept to planning and ultimately integration. 
  • Contact Details
  • Supporters
  • Venue
  • Featured Events
  • Downloads
  • Who will attend

Contact Details



Ambassadors Hotel, Bloomsbury, London

Ambassadors Hotel, Bloomsbury, London

Overlooking a quaint Dickensian lane in the Bloomsbury literary district, this 19th-century hotel with a grand exterior and a modern contemporary interior is a 5-minute walk from Euston tube and train station.

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