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This national conference looks at the practicalities of responding to patient safety incidents for learning and improvement under the Patient Safety Incident Response Framework (PSIRF). The conference will also update delegates on best practice in patient safety incident investigation and learning response systems and include an practical case study based overview of key tools and techniques that can be used to investigate incidents including under PSIRF including After Action Reviews and SEIPS. There will be a focus on the 2026 updates to the Patient Safety Incident Response Standards, understanding your patient safety incident profile and managing and ensuring accountability for ongoing safety actions in response to recommendations for investigations. You will also receive a legal perspective on PSIRF and how PSIRF relates to the learning from deaths criteria, Medical Examiner and Coroner system. The conference will support you to compassionately involve those affected by patient safety incidents and challenge your pre existing lens to inspire cultural change with PSIRF and deliver improvement.
“When patients and their carers have patient safety concerns, we will expect a personalised, rapid response where managers and clinicians listen carefully, engage compassionately, provide answers to questions, explore whether care was provided to a high standard and learn continuously.”
Fit for the Future: 10 Year Plan for Health in England July 2025
“The government is also clear that a culture of accountability in the NHS requires those in leadership positions to ensure that systems and processes are correctly engaged for responding to patient safety concerns and that this supports organisational learning… As reflected in the 10 Year Health Plan, strengthening NHS management and leadership means holding those in senior positions accountable for their actions when things go wrong.””
Department of Health and Social Care, July 2025
“PSIRF fundamentally shifts how the NHS responds to patient safety incidents for learning and improvement”
Healthcare Safety Investigation Branch
This conference will enable you to:
Network with colleagues who are working to improve the response to patient safety incidents for learning and improvement
Update your knowledge on the Patient Safety Incident Response Framework including the 2026 update to the Patient Safety Incident Response Standards
Develop your skills in PSIRF tools and techniques such as AAR, SEIPS and Thematic reviews
Review your practice against the 2026 update to the Patient Safety Incident Response Standards
Support you to respond proportionately to patient safety incidents
Understand how to apply the framework to the development and maintenance of your patient safety response policy and plan
Explore and understand your patient safety incident profile
Learn from outstanding practice in the development of patient safety incident investigation
Manage and ensure accountability for ongoing safety actions (in response to recommendations from investigations)
Reflect on the perspectives of a patient who has been involved in a serious incident, and ensure compassionate engagement and involvement of those affected by patient safety incidents
Learn from a legal perspective on how PSIRF interacts with the learning from deaths criteria, Medical Examiner and Coroner system
Understand how to work with staff to ensure a focus on learning responses, safety actions and continuous improvement challenge your pre existing lens to inspire cultural change with PSIRF and deliver improvement
Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes
