Patient safety is fundamental to the provision of high-quality services and is defined by NHS England as:
"Maximising the things that go right and minimising the things that go wrong for people experiencing healthcare."
The impact of patient harm is felt widely by patients, families, loved ones and the teams delivering care.
Our vision is to embed a culture of patient safety across the Trust and across pathways of care. We are aiming for our staff to have an environment in which they can consistently understand factors that impact on:
We acknowledge that there has been a fear of blame within the NHS and we want our staff to fee safe:
We recognise that our staff are our greatest asset. We are committed to developing a culture of learning, transparency and openness that enables us to continue to develop patient safety and make the Trust a great place to work in health and social care.
The patient safety partner is a new and evolving role in the NHS that aims to empower patients and carers.
Here at the Trust, we are excited to welcome a team of patient safety partners to work alongside our staff, patients, and families to influence and improve safety within our hospitals and community services.
Patient safety partners can be patients, carers, family members or other lay people (including NHS staff from another organisation).
In June 2021, the ‘framework for involving patients in patient safety’ was published by NHS England. This framework sets out approaches and standards that help to make a positive difference to how patient safety is viewed and managed in the NHS.
A key part of the framework introduces patient safety partners; empowering patients and their carers to be involved in their own safety. As well as being partners alongside staff in improving patient safety in NHS organisations.
The main role of the patient safety partner is to ensure that the patient voice is heard within organisations, with the core purpose of improving safety and quality. The following are examples of work that patient safety partners would be involved with:
Our patient safety partners will be fully supported in their role and will be provided with ongoing supervision and support. They will also receive training, so they are best able to support patient safety across the Trust.
We are actively recruiting 4 patient safety partner roles across our mental health, adult community services, learning disability and children’s services.
If you are interested, contact Kerry Crowther, Patient Safety Specialist. Call 07920 757 327 or email Kerry Crowther.
The Trust as an early adopter of the patient safety incident response framework, has developed alongside key stakeholders a patient safety incident response plan which sets out how we will respond to patient safety incidents reported by staff and patients, their families and carers as part of work to continually improve the quality and safety of the care provided.
The plan sets out the ways the Trust intends to respond to patient safety incidents to learn and improve through patient safety incident investigations and patient safety reviews.
The Trust has identified the following events that we intend to investigate selected cases through a patient safety incident investigations:
Resources for additional patient safety incident investigations has also been allocated for any significant unexpected trend in incidents that could not have been foreseen as part of this planning exercise.
We would also undertake a number of patient safety incident investigations on national priorities which include:
Deaths that had previously been investigated as serious incidents under the 2015 framework will be reviewed in line with the learning from deaths national priority, during the review process certain incidents may proceed as a patient safety incident investigation.
In the years ahead, the Trust will seek data and insight from stakeholders to inform potential future categories for local patient safety incident investigation and system improvement.
NHS England have produced a series of patient story videos to be used as training resources for NHS organisations to demonstrate the impact the initial response to a patient safety incident and subsequent investigation has on the patient
Kathryn talks about her experience following an incident where she was harmed when her cannula was not flushed following surgery, leaving her close to death and temporarily paralysed.
Kirsty talks about her experience following an incident where there were problems with care during the delivery of her third child following the administration of a Syntocinon drip.
Valerie, a patient with Parkinson’s disease, talks about her experience following an incident where she was mixed up with another patient and given the wrong medication.