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Patient Safety: Safer Culture-Safer Systems

Tuesday, 18 May 2021
The Royal National Hotel, London
08:25 - 16:30

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150+

Conference
Attendees

CPD
Credits

15+

Expert Speakers

20+

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
systems;
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
supported.

Confirmed Speakers

Luke Brown

Senior Charge Nurse, Emergency Department, Homerton University Hospital, NHS Foundation Trust

Helen Hughes

Chief Executive , Patient Safety Learning

Helen Higham

Co-Director of the Oxford Patient Safety Academy Consultant Anaesthetist John Radcliffe Hospital Oxford , University of Oxford John Radcliffe Hospital Oxford

Amelia Newbold

Risk Management Lead, Browne Jacobson LLP

Julie Coombes

Head of Clinical Education Transformation, Health Education England

Justine Sharpe

Regional Safety and Learning Lead (London), NHS Resolution

Jen Gilroy-Cheetham

NHS Engagement Manager , Chiesi

Claire Kilpatrick MSc Med Sciences, RGN

Directors and Founder, S3 Global Health Consultants and World Health Organisation (WHO)

Jules Storr MBA, MHS, RGN

Director and Founder , S3 Global Health Consultants and World Health Organisation (WHO)

Dr Cheryl Crocker

AHSN Network Patient Safety Director, AHSN Network

Event Sponsors and Supporters

University of Oxford John Radcliffe Hospital (1)

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Event Programme

Time:

Event:

08:30

Registration and Coffee in the Networking Area

09:25

Chair’s Opening Address

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

09:30

Keynote Address

Cheryl Crocker, Patient Safety Director, AHSN Network (confirmed)

"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.

09:50

Jen Gilroy-Cheetham, NHS Engagement Manager , Chiesi (confirmed)

"A Lived Experience"

10:10

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.