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Serious Incident Investigation Towards the New Patient Safety Incident Response Framework (PSIRF)

Training dates throughout the year:

Friday 8 Jul 2022
Thursday 20 Oct 2022

Follow the conference on Twitter #NHSSeriousIncidents

Find out more about virtual attendance

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) a version of which has now been published and which is being tested in early adopter sites. NHS Improvement is working with these early adopters to test implementation, and analysis of this will inform the final version with the revised framework due in June 2022. Local systems and organisations outside of the early adopter areas are free to use the already published version of the PSIRF to start to plan and prepare for PSIRF’s full introduction.

The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement, and updates from PSIRF early adopter sites.

“PSIRF supports a systematic, compassionate, and proficient response to patient safety incidents; anchored in the principles of openness, fair accountability, learning and continuous improvement. The approach aims to refocus systems, processes and behaviours on delivering a sustained reduction in risk. It is recognised that national implementation, with fidelity to the principles and thinking behind PSIRF requires information, education and support. The evaluation found enthusiasm for the approach among the vast majority of those involved in the Early Adopter organisations. Interviewees anticipated benefits compared with the previous framework. The value of the pilot has been to provide an opportunity to identify some of the key challenges which will require attention for successful implementation of the wider roll-out.”

PSIRF Pilot Evaluation - December 2021 v2 edit Crisp QI Report, NHS England

“To support the NHS to further improve patient safety, we are preparing for the introduction of a new Patient Safety Incident Response Framework (PSIRF), outlining how providers should respond to patient safety incidents and how and when a patient safety investigation should be conducted.”

NHS England

“Changing embedded incident management processes will take time, particularly as the NHS is in the midst of intense organisational and system-wide transformation.”

Patient Safety Incident Response Framework 2020 An introductory framework for implementation by nationally appointed early adopters March 2020

This conference will enable you to:

  • Network with colleagues who are working to improve the investigation of serious incidents
  • Ensure your approach to Serious Incident Investigation is in line with the NHS Patient Safety Strategy
  • Update your knowledge with national developments including the New Patient Safety Incident Response Framework
  • Understand developments and learning from the PSIRF early adopter sites
  • Reflect on the management and investigation of serious incidents involving Covid-19
  • Learn from outstanding practice in the development of patient safety incident investigation and mortality review
  • Reflect on the perspectives of a patient who has been involved in a serious incident
  • Reflect on the development of mortality governance within your organization and understand the challenges of Covid-19
  • Understand how to work with staff to ensure a focus on learning and continuous improvement
  • Develop your skills in Patient Incident Investigation and PSIRF
  • Apply a human factors approach  to move the focus of investigation from acts or omissions of staff, to identifying systems improvement
  • Identify key strategies for improving investigation of serious incidents
  • 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

Chair & Speakers Include:

Mike O'Connell

Legal Services Practitioner and Interim Senior Inquests Manager
Calderdale and Huddersfield NHS Foundation Trust

Jo Mason-Higgins

Head of Claims, Complaints and Patient Safety Investigations Lead for Duty of Candour
Gloucestershire Hospitals NHS Foundation Trust

Professor Helen Young

SRO, NHS 111 Covid Response Services; & Executive Director of Patient Care and Service Transformation/Chief Nurse South Central Ambulance NHS Trust

Exhibition & Sponsorship Packages

This conference offers a valuable opportunity for industry suppliers to personally meet with their target audience where they will have time to talk and demonstrate the benefits of their products. High quality specialist audiences make having a presence at our events a highly targeted and cost effective marketing channel.

Why Exhibit?

Having a presence at this event will give you the opportunity to:

  • Demonstrate your product, system or service
  • Network and engage with your key audience  
  • Generate new business leads
  • Gain exposure for your brand and raise the profile of your organisation
  • Understand the current needs of your audience and challenges they’re facing
  • Update your knowledge of national policy and local developments  


Contact Carolyn Goodbody for exhibition and sponsorship prices, or to discuss a tailored package to suit your needs and budget.

Fee Options

NHS & Public Sector



Voluntary sector & charities



Commercial organisations



Virtual Training



(Prices in brackets include VAT)


Additional delegate discount:

A discount of 15% will be applied to fees for any extra delegates.

Online discount:

A discount of 10% will be applied if you pay using the website.

Also of Interest

Supporting Organisations

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