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WHF Policy conference: Next steps for improving patient safety in the NHS

Westminster Health Forum policy conference

Next steps for improving patient safety in the NHS

whole system learning, opportunities for regulation, patient involvement, and the role of the HSIB

Morning, Tuesday, 22nd February 2022

Book Online | Live Agenda

with
Keith Conradi, Chief Investigator, Healthcare Safety Investigation Branch

Nigel Acheson, Deputy Chief Inspector of Hospitals, Care Quality Commission

Lucy Watson, Chair, The Patients Association

Justine Sharpe, Safety and Learning Lead, London, NHS Resolution

and

Mike Fairbourn, Becton Dickinson UK and Ireland; Dr Robert Hendry, Medical Protection Society; Dr Bill Kirkup, Morecambe Bay Investigation; Tracy Nicholls, College of Paramedics; Professor Joe Rafferty, Mersey Care NHS Foundation Trust; and Peter Walsh, Action Against Medical Accidents

Chaired by:

Rosie Cooper MP, Member, Health and Social Care Select Committee

This will be an important opportunity to examine the next steps for improving patient safety in the NHS in the context of the ongoing pandemic, the updated Patient Safety Strategy, and the MHRA consultation launched to improve patient safety and regulation around medical devices.

Delegates will also discuss priorities in the context of the Health and Care Bill, which includes measures aiming to strengthen the role of the Healthcare Safety Investigation Branch (HSIB) in improving patient safety.

Key areas for discussion include:

  • system learning – assessing approaches, sharing best practice, supporting the workforce, education and training, and building a learning culture
  • patient involvement – priorities for involving patients and the public within patient safety
  • regulation – options for a more flexible and adaptable approach
  • clinical negligence – how best to improve the negligence system
  • the role of the HSIB – including its scope going forward and informing whole system learning
  • COVID-19 – what has been learned for patient safety and how best to drive improvements in the recovery from the pandemic and into the future

We are pleased to be able to include keynote contributions from:

  • Nigel Acheson, Deputy Chief Inspector of Hospitals, Care Quality Commission – on opportunities for improving regulation and reducing avoidable harm
  • Keith Conradi, Chief Investigator, HSIB – on the expanding role of the HSIB, the potential impact on the most serious patient safety risks, and opportunities for whole system learning
  • Lucy Watson, Chair, The Patients Association – on listening to service users and learning from failures

We also expect discussion on what has been learned for patient safety during COVID-19 and how best to drive patient safety improvements both in the recovery from the pandemic and into the future.

The discussion is bringing together stakeholders with key policy officials who are due to attend from the CQC; the DHSC; and the Welsh Government.

Key areas for discussion:

The way forward for improving patient safety and priorities for the Health and Care Bill

  • reducing variation – looking at measures outlined in the Bill to reduce variation in care and patient safety, as well as priorities for monitoring at a system level
  • patient safety learning:
    • how best to drive education and learning around patient safety and the role of the HSIB when it becomes an independent statutory body
    • assessing how to share and implement the findings of investigations most effectively
  • trust – priorities for building patient trust in investigation and safety learning processes
  • health inequalities – next steps for improving understanding of the impact of health inequalities on patients’ safety, trust, and experience of healthcare

Opportunities for improving regulation and reducing avoidable harm

  • supporting innovation:
    • examining how approaches to regulation became more adaptable and flexible during the pandemic to enable innovation and collaboration
    • assessing how best to ensure that patient safety remains a key focus as government and industry look to maintain momentum in research and development
  • the Care Quality Commission (CQC) – exploring opportunities for the CQC to become more flexible and responsive in its regulatory approach and to improve public understanding of ratings following its recent consultation
  • the Independent Medicines and Medical Devices Safety Review – assessing the impact of the Government’s response to the recommendations from the review
    • including the role of the MHRA and how to improve interventions to deliver patient safety

The impact of COVID-19 on patient safety, experience, and continuity of care

  • adapted approaches – priorities for ensuring safety with the new and alternative care methods put in place during the pandemic, and how to take safety considerations forward throughout the ongoing pandemic and beyond COVID-19
  • the health and care workforce – looking at how the workforce has adapted and continues to adapt to the pandemic, as well as how pressures on services impact patient safety and staff morale
  • community care – examining:
    • how primary care and community services are being utilised to maintain patient safety
    • the impact of Government plans for more face-to-face appointments in primary care
    • priorities for taking forward community care in line with the Health and Care Bill
  • marginalised and disadvantaged groups – evaluating the experience of ethnic minority groups during the pandemic and the impact of disparities and health inequalities on access, trust, and engagement with healthcare

Assessing the rising costs of clinical negligence in the NHS

  • tackling variation – looking at the progress of programmes such as GIRFT in reducing unwarranted variation in patient safety
  • tackling clinical negligence – assessing programmes such as:
    • the Clinical Negligence Scheme for General Practice – looking at the impact of the programme in collating data from claims to learn from errors
    • the Clinical Negligence Scheme for Coronavirus – examining its role in meeting healthcare arrangements brought about by the pandemic
      • including how the additional coverage for those working in the healthcare response to COVID-19 has affected patient safety and the new ways of working required
  • future approaches – exploring ways in which the negligence system could be improved to reduce harm and addressing blame culture within the system to enable learning processes

Embedding a focus on patient safety across the system and supporting the workforce to deliver care safely

  • avoidable harm – assessing what more could be done to reduce avoidable harm and learn from failures when they occur
  • the National Patient Safety Syllabus – looking at how it can ensure the workforce receives effective education and training in patient safety, and how this dovetails with the Patient Safety Strategy
  • the NHS People Plan – assessing its role in improving patient safety, with the plan addressing workforce challenges, wellbeing, and support for delivering care
  • the NHS Long Term Plan – examining measures set out in the plan to improve patient safety, including the new Patient Safety Incident Management System
  • data – exploring opportunities for innovation and how local patient safety data can be analysed to help deliver improved learning and practice
  • establishing a learning culture – looking at how best to address blame culture within the system, encourage the reporting of incidents, and achieve a learning culture within the NHS

The expanding role of the HSIB and opportunities for whole system learning

  • the Health and Care Bill – assessing the impact of measures in the bill to make the HSIB an independent body and put it on a statutory footing
  • patient safety investigations – what is required to support and enable the HSIB to carry out important investigations that can inform patient safety learning
  • risk mitigation – looking at how the body can play a role in risk mitigation and priorities for the development of systems to improve this going forward
  • scope – looking at the inclusion of independent care within the investigation remit

Chairs and speakers

Keynote contributions: Keith Conradi, Chief Investigator, Healthcare Safety Investigation Branch; Nigel Acheson, Deputy Chief Inspector of Hospitals, Care Quality Commission; Lucy Watson, Chair, The Patients Association; and Justine Sharpe, Safety and Learning Lead, London, NHS Resolution.

Speakers also confirmed: Mike Fairbourn, Vice President and General Manager, Becton Dickinson UK and Ireland; Dr Robert Hendry, Medical Director, Medical Protection Society; Dr Bill Kirkup, Chairman, Morecambe Bay Investigation; Tracy Nicholls, Chief Executive Officer, College of Paramedics; Professor Joe Rafferty, Chief Executive and Chair, Mersey Care NHS Foundation Trust; and Peter Walsh, Chief Executive, Action Against Medical Accidents.

Chaired by: Rosie Cooper MP, Member, Health and Social Care Select Committee.Further senior participants are being approached.

Attendees

Places have been reserved by officials from the Care Quality Commission; the Department for Health and Social Care; States of Guernsey; and the Welsh Government. Also due to attend are representatives from Association of Personal Injury Lawyers; Cardiff University; Healthcare Improvement Scotland; IPATHDIGITAL; Mills& Reeve; NHS Resolution; NHS Whistleblowers Support Scheme Advisory Group; PPG; St Georges and Kingston Universities; The Huntercombe Group; University of Portsmouth; Virgin Care; and Yorkshire & Humber Academic Health Science Network.

A press pass has been reserved by a representative from The Independent.

Overall, we expect speakers and attendees to be a senior and informed group including Members of both Houses of Parliament, senior government officials in this area of public policy, together with regulators, representatives from the NHS, executive agencies including clinical staff, pharmacists, the independent and third sectors, patients groups, law firms, consultancies, and pharmaceutical companies, others affected by the issues discussed as well as academics and think tanks, and reporters from the national and specialist media.

Booking arrangements

This is a full-scale conference taking place online***

  • full, four-hour programme including comfort breaks – you’ll also get a full recording and transcript to refer back to
  • information-rich discussion involving key policymakers and stakeholders
  • conference materials provided in advance, including speaker biographies
  • speakers presenting via webcam, accompanied by slides if they wish, using the Cisco WebEx professional online conference platform (easy for delegates – we’ll provide full details)
  • opportunities for live delegate questions and comments with all speakers
  • a recording of the addresses, all slides cleared by speakers, and further materials are made available to all delegates afterwards as a permanent record of the proceedings
  • delegates are able to add their own written comments and articles following the conference, to be distributed to all attendees and more widely
  • networking too – there will be opportunities for delegates to e-meet and interact – we’ll tell you how!
  • video recordings – including slides – are also available to purchase

Full information and guidance on how to take part will be sent to delegates before the conference

To book places, please use the online booking form.

For more information, and any enquiries, please contact 

 

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