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Welcome to the hub newsletter.

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Regulating AI in healthcare

One of the key ambitions of the UK Government, set out in its 10 Year Health Plan, is to “make the NHS the most AI-enabled care system in the world”. In support of this goal, in September 2025 the Medicines and Healthcare products Regulatory Agency (MHRA) announced the creation of a new National Commission into the Regulation of AI in Healthcare. Patient Safety Learning highlights the key issues included in its response to the MHRA call for evidence on the regulation of AI in healthcare.

When psychological safety fails, patient safety follows

 

Psychological safety is the foundation that enables incident reporting, learning from error, early risk escalation and team-based decision-making. Staff must feel safe to speak up, to report concerns, to admit uncertainty or error. When they do not, harm follows. In a blog for the hub, Aderonke Opawande explains why psychological safety is not optional in patient safety.

 

What are you seeing in your part of the system? What feels unsafe that is not being discussed? What learning is being lost? Join the conversation here.

 

An experience of managing change in the NHS

At a Patient Safety Management Network meeting last year, Amy Wood gave a presentation on her experience of managing change in the NHS. Speaking about her time at Chase Farm Hospital, Amy presented to the Network how Chase Farm Hospital moved to a new hospital building and implemented a new Electronic Patient Record system whilst ensuring patient safety was maintained. We asked Amy to share her insights in a blog for the hub. 

 

Have you been involved in a change management project? We'd love to share them on the hub. Email content@pslhub.org.

 

An experience of managing change in the NHS

At a Patient Safety Management Network meeting last year, Amy Wood gave a presentation on her experience of managing change in the NHS. Speaking about her time at Chase Farm Hospital, Amy presented to the Network how Chase Farm Hospital moved to a new hospital building and implemented a new Electronic Patient Record system whilst ensuring patient safety was maintained. We asked Amy to share her insights in a blog for the hub. 

 

Have you been involved in a change management project? We'd love to share them on the hub. Email content@pslhub.org.

 

Is the patient voice fading?

Patients, families and carers often see risks first, experience harm directly and notice when care does not quite join up. They move across services and settings, observe patterns over time, and are frequently the first to recognise when something feels unsafe. The importance of the patient voice is discussed in two new blogs on the hub. In the first, Claire Cox, Associate Director at Patient Safety Learning, reflects on the changing landscape of health and care in the NHS and the impact this is having on patients' and families' voices being heard and acted upon, and in a second blog Risa Mallory, a retired psychotherapist from Canada and patient advocate, describes why patient involvement is critical when things go wrong in healthcare.

 

Patient topic leaders wanted! (2)

the hub gems

A reminder of recent content you may

have missed...

Why I worry the NHS could slip backwards on patient safety

Over the last decade, there has been a real and welcome shift in how patient safety is understood. The language has changed. There is broader acceptance that harm is rarely the result of a single individual failure and that learning requires curiosity, systems thinking and psychological safety. However, the NHS risks slipping backwards on patient safety. Healthcare Services Safety Investigation Body (HSSIB) Chair Ted Baker blogs about lessons from safety investigations, the confusion between safety and quality, culture under pressure and why this matters now.

PSPs outline their concerns around healthcare worker fatigue

On the 20 January 2026, a selection of Patient Safety Partners, who are also members of the Patient Safety Partners Network, wrote to a number of key stakeholders outlining their concerns around staff fatigue, supporting the need to recognise why staff fatigue is a patient safety issue and why organisations need to address this.

I get my thyroid treatment from overseas, but I shouldn’t have to

Katie Dawson is a hypothyroidism sufferer and needs specific treatment to keep herself well. In this opinion piece, she explains why she resorted to sourcing her own medication from abroad and calls for an individualised care approach to hypothyroidism, so that everyone can access the treatment they need.

Putting patients at the centre of antimicrobial stewardship in Uganda

Across Uganda, patients are increasingly experiencing infections that no longer respond to commonly used antibiotics. This blog from the Uganda Alliance of Patients’ Organizations (UAPO) argues that strengthening antimicrobial stewardship in Uganda requires placing patients at the centre of the response and highlights the strategic positioning of the UAPO to lead this shift in line with national and global priorities.

Do you have insights to share around patient safety? We would love to hear from other countries and organisations on the work they are doing. Email content@pslhub.org.

The Lived Experience Involvement Toolkit: turning good intentions into practical involvement

Aurora Todisco, our Topic leader for Patient Engagement, shares her Lived Experience Involvement toolkit. A practical resource designed to help anyone involved in patient and public involvement, engagement or lived experience work – whether you’re just starting out or looking to strengthen existing practice.

Tackling alarm fatigue: how a joint QI initiative reduced false alarms by 99%

Phil Ross is the Chair of the Design in Mental Health Network, Co-Founder of Safehinge Primera, and a Trustee at the Centre for Mental Health (UK). In this blog, Phil describes a collaborative Quality Improvement project that aimed to ensure a door alarm system acted as a trusted safety aid, not a constant distraction.

Thrush and vulval nerve damage: lack of information and knowledge puts patients at risk

Philly Baines is a patient advocate and Founder of Thrush Support. She is living with chronic pain following recurrent thrush infections and vulval nerve damage. In this opinion piece, Philly shares her experience and calls for action to make sure patients and healthcare professionals are more aware of the risk of thrush-associated nerve damage. 

Discover more content

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Upcoming patient safety events

5 March

Language and Communications: Understanding and Developing Effective Communications with Family Carers

This interactive half day course uses audio and video case studies and scenarios to explore common barriers to effective communications and what can be done about them.

13-14 April

Systems approach to learning from patient safety incidents

Training to support the development of core understanding and application of systems-based patient safety incident response throughout the healthcare system - in line with NHS guidance, based upon national and internationally recognised good practice.

More events

Join in the discussions in the Private networks

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Updates from the Patient Safety Networks

The Patient Safety Management Network logo

This month PSMN members have been sharing their experiences of undertaking investigations using the PSIRF tools, including challenges faced and approaches that have worked well. 

View the presentations and notes

The Patient Safety Partners Network logo

In their February meeting, Network members were joined by Claire Cox, Associate Director at Patient Safety Learning, who facilitated a discussion about how the NHS currently approaches engaging with patients, family members and staff in Patient Safety Incident Investigations and when conducting local learning responses.

View the notes from the meeting

The Patient Safety Education Network logo

At the January PSEN meeting, Mark Sujan from the Health Services Safety Investigations Body (HSSIB) joined Network members to facilitate a discussion around what patient safety education teaching should look like, and posed the question whether this training should be taught by certified individuals.

View the presentation and notes

Presentations and slides are only available to Network members.

To find out more about the Networks and how to join, see our 'Join a private community' page. 

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Latest news

  • Using AI for medical advice 'dangerous', study finds

  • ‘Cover-ups’ leave staff scared to report sexual safety concerns

  • Sepsis mistakes killed our daughter - we fear it could happen again

  • A&Es to open dedicated areas for ‘extended stay’ patients

  • Autistic girls much less likely to be diagnosed, study says 

  • Coroner warning to pregnant woman over drug used to treat migraines after baby death

  • These women didn't suffer racial slurs in maternity care - it was something more insidious 

More news

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