Project

System Safety

Compilation of images of people working in health and social care

NHS England published the Patient Safety Incident Response Framework (PSIRF) in 2019. This framework outlines how NHS organisations should respond to patient safety incidents for the purpose of learning and improvement. 

PSIRF replaced the previous Serious Incident Response Framework, and represents a significant shift in the way the NHS responds to patient safety incidents, focused on:

  • compassion
  • involving those affected
  • system based approaches to learning and improvement
  • considered and proportionate responses
  • supportive oversight.

Wessex Patient Safety Collaborative supported acute, community, mental health and ambulance trusts in Dorset and Hampshire & Isle of Wight to implement and embed PSIRF.

To help understand this more, you can watch this short video.

Compilation of images of people working in health and social care

Our impact

"I think that’s what the patient safety collaborative has brought – that kind of depth and knowledge of QI and QI methodology, and sort of applying that practically."

Wessex participant in independent evaluation

PSIRF is a major step towards improving safety management across the healthcare system in England and greatly supports the NHS to embed the key principles of a patient safety culture. It ensures the NHS focuses on understanding how incidents happen, rather than apportioning blame on individuals, allowing for more effective learning and improvement, and ultimately making NHS care safer for all.

Patient safety collaboratives (PCS) supported the national adoption and scale up of PSIRF with fidelity to the core principles, working in collaboration with partners in NHS England's regional teams. All NHS provider trusts have now transitioned to PSIRF, and the PSCs continue to support embedding PSIRF and learning from incidents to inform and develop improvement work.

PSIRF in primary care:

PSIRF has not, as yet, been mandated in primary care but it is included in the primary care patient safety strategy. PSIRF is currently being piloted in primary care by a number of GP practices, GP federations, primary care networks and ICBs. 

Wessex cross system Patient Safety Incident Investigation (PSII) thematic review:

Health Innovation Wessex carried out a cross-system thematic review of Wessex systems (Dorset, and Hampshire and Isle of Wight) to explore common and recurring factors contributing to patient safety incidents to help inform improvement priorities within the systems.

A total of 27 anonymised reports from ten organisations were included in the review which led to three overarching themes identified: ‘Communication that connects’, ‘Robust systems, safe care’ and ‘From roles to goals’. The full thematic review can be read on our website.


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