Patient Safety: Safer Culture - Safer Systems

  • Thursday, 14 July 2022
  • Ambassadors Hotel, Bloomsbury, London
  • 08:25 - 16:30
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 agenda will help you to develop further knowledge of the current patient safety strategies  and the 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. 

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.

Special Offer

In partnership with Embrace Resilience we are offering all delegates a package of free e-learning courses worth £60 when you register for this event.

These courses are used widely across health, and care sectors. and meet CQC requirements for training and development. In addition to the courses, delegates will have free access to download a toolkit including planners and journals to help with their own personal resilience.

We will send a list of courses from which you can select your free 5 course package after you register.

  • 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)

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 Presentation

  • Carolyn Jenkinson, Head of Hospital Inspection, Care Quality Commission (CQC) (confirmed)
"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.



  • Dr Lesley Kay, Deputy Medical Director, Healthcare Safety Investigation Branch (confirmed)
"The Healthcare Safety Investigation Branch: Patient Safety Investigations Which Do not Apportion Blame or Liability"

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.

The HSIB began work in 2017 and has to date produced 61 national and over 2000 maternity investigation reports. HSIB brings a systems approach to patient safety investigations and was the first body of its kind in the world. The presentation will outline the HSIB model of patient safety investigation and use selected investigations to illustrate the recommended changes to improve patient safety at a systems level.

  • 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.


Headline Sponsor


Question and Answer Session

Allocated planned time for speakers to receive questions from the audience and induce further discussion


Coffee in the Networking Area


Sharing Best Practice

  • 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.

  • 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


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

  • Helen Hughes, Chief Executive, Patient Safety Learning (confirmed)
  • Julie Coombes, Head of Clinical Education Transformation, Health Education England (proposed)
"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.

  • Tim Sproston, Global Professional Manager, The Crisis Prevention Institute (confirmed)
"Keeping Safe-Dealing with Difficult Conversations"

Whether connecting with professional colleagues, other disciplines or agencies, or with patients or their families, it is crucial that we use verbal, non-verbal and paraverbal techniques to optimise our communication.
Ultimately, we may need to adjust our communication when we are required to have difficult conversations with people who often feel angry, upset, or dismissed to deescalate or defuse potential risk. 


Sharing Best Practice

"Haemovigilance and patient safety: Insights from SHOT"

Dr Shruthi Narayan will provide an overview of SHOT (Serious Hazards of Transfusion) and haemovigilance activities and the tools that SHOT uses to communicate the learning and recommendations. Lessons from SHOT are applicable to other aspects of vigilance, addressing similar issues threatening patient safety. SHOT recommendations such as avoiding patient identification errors, incorporating human factors principles, improving safety culture are applicable in all aspects of patient care. This presentation will also explore further steps that need to be taken to enhance patient safety.


Closing Keynote

"Safe Staffing Standards in Nursing "

This session will explore the evidence for safe staffing, safety critical work and introduce the RCN Workforce Standards


Question and Answer Session


Chair’s Closing Remarks & Event Close

  • Register for event

Having difficulty paying through Eventbrite? If you would like assistance registering your place please contact me on 0161 376 9007 and i'll be happy to assist. If you are awaiting funding you can request us to hold your place today to ensure you do not miss out.

Discounts for 3 or more delegates are available.

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Luke Boulter
! ***NHS CUSTOMERS*** Please note that we are finding the ticket information is not being displayed across some organisations. If this is the case please get in touch on 0161 376 9007 and we can provide you the details, alternatively if you are using internet explorer to access this information please try an alternative browser e.g. Google Chrome where you might have more success.
  • Gain 8 CPD credits
  • Discover the reality of how well the NHS keep patients safe once they enter the system
  • Learn more about the ambitions to make the NHS the safest healthcare system in the world
  • Be informed as to the current strategies being implemented; the principles and priorities on which they 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
  • Develop a deeper understanding of how human factors can be applied to improve patient safety
  • Hear how incidents are investigated to identify any factors that have harmed or may do harm to patients, leading to recommendations to increase the quality of healthcare systems and processes in pursuit of improving patient safety and reducing risk
  • Listen to recurrent investigative themes and recommendations from NHS Resolution as to how learning and improvements can be made
  • Be motivated by exemplars 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
  • Benefit from the opportunity to question, discuss and debate current working practices and those for the future
  • Contribute to continued learning
  • Take advantage of knowledge sharing and professional networking


  • Contact Details
  • Sponsors
  • 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