The NHS Patient Safety Strategy explains how the NHS aims to improve patient safety continuously, across the board. The main section headings in this strategy document comprise:
- Our vision for patient safety.
- Foundations for safer care: where we are now and where we need to go.
- A patient safety culture.
- A patient safety system.
- Safety in primary care.
- What the NHS is going to do
- A new digital system to support patient safety learning.
- The Patient Safety Incident Response Framework.
- The Healthcare Safety Investigation Branch (HSIB).
- The medical examiner system.
- National clinical review and response.
- The National Patient Safety Alerts Committee.
- Clinical negligence and litigation.
- Patients, carers, families and lay people as partners.
- Patient safety education and training.
- Patient safety specialists.
- Safety I and Safety II.
- Independent sector.
- Continuous improvement.
- The National Patient Safety Improvement Programme.
- The Maternity and Neonatal Safety Improvement Programme.
- The Medicines Safety Improvement Programme.
- The Mental Health Safety Improvement Programme.
- Safety issues that particularly affect older people.
- Safety and learning disabilities.
- Antimicrobial resistance and healthcare associated infections.
- Research and innovation.
- Delivering the strategy
- Contributors List
- Appendix 1: Benefits estimate
- Estimating current impact of harm in the NHS.
- Estimating the benefits of the strategy.
The NHS Patient Safety Strategy. London: NHS England [and] NHS Improvement, July 2019.
Historical context setting:
“Hogan [et al]’s research from 2015 suggests we may fail to save around 11,000 lives a year due to safety concerns, with older patients the most affected. The extra treatment needed following incidents may cost at least £1 billion”. p.3.
Hogan, H. Zipfel, R. [and] Neuburger, J. [et al] (2015). Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. BMJ. July 14th 2015; 351: h3239.