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A stylised illustration of a healthcare pathway made up of connected circular icons in blue and green. The icons include a heart monitor, stethoscope, ambulance, pills, syringe, DNA strand, test tube and medical cross, all linked by a flowing line to represent joined-up care.
News

Patient safety risks across regional care pathways

18 June 2026

HSSIB has flagged patient safety risks across regional care pathways, warning that unclear roles, limited oversight and inconsistent information sharing can limit how risks are identified and managed…
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Young person with Down syndrome smiling while talking with a healthcare professional by a window in a hospital setting.
Blog

Do you see me?

15 June 2026

The theme for Learning Disability Week (15-21 June 2026) this year is ‘Do you see me?’: Senior Safety Investigator, Matt Mansbridge, reframes the question as a patient safety challenge to the whole h…
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Blog

Patient safety and diabetes

12 June 2026

During Diabetes Week, Craig Hadley (Senior Safety Investigator) shares learning from our insulin patient safety investigations. He highlights how a system-focused approach to safety in diabetes servi…
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A Norwegian ambulance drives with it's blue lights flashing along a road in Oslo.
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Blog

Building an international network for patient safety investigation

4 May 2023

Our Chief Investigator, Rosie Benneyworth, writes about exciting developments in the world of international patient safety investigation.
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A female clinician sits at a desk using a desktop computer.
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Blog

Failing to communicate: challenges with electronic communication systems

18 April 2023

Matt Mansbridge and Melanie Ottewill blog about the patient safety issues that arise when systems are unable to communicate with each other, as highlighted in three of our national investigations to …
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Events

The impact of staff fatigue on patient safety: how do we manage the risk

17 March 2023

We facilitated a half-day event on 17 March 2023 to ask how healthcare can understand and start to manage the risk of staff fatigue.
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A Black male healthcare professional sits outside in front of a brick wall, drinking a coffee.
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Blog

Starting the conversation around NHS staff fatigue and patient safety

8 March 2023

Laura Pickup blogs about NHS staff fatigue in the run up to World Sleep Day and our fatigue event on 17 March 2023.
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A member of intensive care staff wearing a face mask stands in front of an artificial lung ventilation monitor.
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Blog

The importance of equipment design in patient safety

10 January 2023

Laura Pickup blogs about equipment design in healthcare and asks whether NHS staff should be held accountable for the use of devices and equipment leading to patient safety events.
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People and healthcare staff look busy in a non-clinical area of a hospital ward.
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Blog

New opportunities for risk management

10 January 2023

Jonathan Back, Analyst, blogs about the opportunities the healthcare system has to adopt a proactive risk management approach to improve patient safety.
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Empty beds on a hospital ward looking out onto a green, landscaped courtyard garden.
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Blog

The impact of reorganising NHS services on patient safety

5 January 2023

Scott Hislop, Deputy Director of Investigations, looks at the challenges faced by the NHS when flexing to meet demands and how to mitigate potential risks to patient safety.
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A group of NHS doctors and nurses stand together on a hospital ward, talking and smiling .
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Blog

Supporting NHS staff involved in patient safety investigations

19 December 2022

In this blog, Matthew Wain highlights how NHS organisations can support staff with patient safety investigations, and more generally, in the face of increased pressure.
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Female doctor speaks to a male patient propped up on a hospital bed with two relatives sat at his bedside.
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Blog

Maintaining family involvement in the face of winter pressures

6 December 2022

Louise Pye highlights how the Patient Safety Incident Response Framework can help NHS trusts involve patients and families in the face of extreme winter pressures.
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Blog

Bill Kirkup speaks to HSIB staff about 'Reading the signals'

17 November 2022

Our Clinical Director of Maternity Investigations shares the details of a seminar delivered to HSIB staff by Dr Bill Kirkup CBE as part of our investigation education programme.
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A doctor wearing a stethoscope around their neck holds an iPad.
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Blog

PSIRF and the HSIB: supporting how the NHS responds to patient safety incidents

9 November 2022

In this blog Melanie Ottewill explains how our work is supporting the NHS to adopt a systems approach to local safety investigations through the Patient Safety Incident Response Framework (PSIRF).
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Blog

100 days at HSIB

9 November 2022

Dr Rosie Benneyworth reflects on her first 100 days leading HSIB as interim Chief Investigator.
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Medication stored in a weekly pill box.
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Blog

How patients’ voices can improve safety in the health service in relation to medicines and medical devices

8 November 2022

Following her seminar with HSIB staff last month, this guest blog post from Henrietta Hughes introduces her vision for her new role as Patient Safety Commissioner.
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Blog

Reviewing our new powers and how they will impact you

11 October 2022

The Health and Care Act 2022 will establish HSIB as the Health Services Safety Investigations Body (HSSIB) in April 2023 - a fully independent arm’s-length body. In addition to our statutory independ…
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A doctor with a stethoscope around her neck talks to a patient.
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Blog

PSIRF: a fundamental shift in how the NHS responds to patient safety incidents

27 September 2022

As part of our investigation education seminar series for our staff, NHS England’s Tracey Herlihey, Head of Patient Safety Incident Response Policy and Lauren Mosley, Head of Patient Safety Implement…
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Blog

Looking beyond the recommendation: building a holistic approach to safety improvement

8 September 2022

As part of our investigation education seminar series for our staff, healthcare improvement expert Professor Mary Dixon-Woods joined us for our August session. In this blog, Ian Lavery rounds-up her …
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A young couple sit together looking concerned, holding their baby.
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Blog

How we’ve worked with NHS England and Learn Together to help give families a voice

26 August 2022

Coinciding with the publication of the Patient Safety Incident Response Framework (PSIRF) by NHS England, Louise Pye, Head of Family Engagement at HSIB, reflects on her involvement in producing the s…
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Blog

Integrating restorative justice into patient safety investigation

29 July 2022

As part of our investigation education lectures for HSIB staff, this month we welcomed Jo Wailling, Senior Research Fellow at Te Herenga Waka - Victoria University of Wellington, New Zealand.
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A Norwegian ambulance drives with it's blue lights flashing along a road in Oslo.
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Blog

Knowledge exchange with Norway

28 June 2022

In 2017 HSIB was the first organisation in the world set up to improve patient safety through independent investigations without blame.Now we’re not alone though, as Norway were hot on our heels with…
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An older man lies on a bed with his worried wife sitting with him, holding his hand.
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Blog

Zero avoidable deaths – an aspiration, not a target

8 June 2022

Melanie Ottewill, Senior Safety Investigator and Senior Investigation Science Educator, shares her thoughts on our internal seminar where our guest speaker was Jeremy Hunt MP.
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Blog

The challenges associated with joint surgical care of patients

28 January 2022

Nick Woodier, Senior Safety Investigator, reflects on the challenges associated with joint surgical care of patients and shares learning that can aid the NHS and the private sector as new national ag…
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Button batteries.
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Blog

Reflecting on our button battery investigation

16 December 2021

As Christmas approaches, Senior Safety Investigator Helen Jones reflects on our button battery investigation and updates on what happened after the high-profile report was published.
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