Hiwendy micklewright Welcome to the hub newsletter.
SEIPS in action
Patient Safety Learning's Associate Director Claire Cox shares a video training resource developed at our Patient Safety Symposium last year. Claire explains how they used it to facilitate an interactive workshop, bringing SEIPS (Systems Engineering Initiative for Patient Safety) to life. It's now available as a resource for you to use in your own organisation. It is simple to set up, highly engaging, and encourages teams to think beyond individuals and see the wider system in action.
"Patient safety is not just a framework—it is a promise"
In an anonymous blog shared with the hub, a patient safety investigator reflects on their role in preventing future harm and improving patient outcomes, the responsibility they feel towards patients and their families, and the challenges and frustrations when recommendations they make are not acted upon.
Read all our blogs in our Florence in the Machine series — an area for anonymous health and care staff to blog about the state of the health service as they experience it on a daily basis. If you work in health or social care and would like to share your experience on the hub, you can emailcontent@pslhub.org.
We would be interested in hearing your experiences of menopause and the support you have received. Please share your experience and insights by emailing us at content@pslhub.org.
Unsafe medication practices and medication-related harm are one of the leading causes of avoidable harm in health and care. This year’s #MedSafetyWeek focused on the theme “we can all help make medicines safer”. We have collated patient interviews and blogs shared on the hub that raise awareness of medication adverse reactions, and resources on how you can report a problem.
When Stuart Ball's wife Rachel passed away in August 2025, she was just 47 years old. Her death was not inevitable. It was the result of years of missed opportunities—signs that were there in plain sight but never joined together.
Stuart shares Rachel's story and tells us why he is campaigning for Rachel's Rule—a call for a system safeguard that ensures hereditary risks are not missed.
Staff engagement has a significant and demonstrable impact on patient safety in the UK, especially within NHS trusts. Caroline Beardall shares some of the research and recommendations for focus and action.
After a recent visit to her local hospital for a routine blood test, Rita Gil reflects on her experience and the patient safety concerns she has around data privacy.
The NHS is set to deliver faster care for millions of patients thanks to the most radical reset of the NHS. This 3-year roadmap sets out the NHS plan to get back to delivering against its constitutional standards on elective care, which will see 2.5 million fewer patients waiting more than 18 weeks for treatment by March 2029.
Over the past 15 years, Martin Fletcher has been part of transformational change in professional regulation through his tenure as Chief Executive of the Australian Health Practitioner Regulation Agency (Ahpra). In this blog for the hub, Martin shares Australia's regulatory journey and reflects on the UK's more gradual path to reforming their legislative frameworks. He highlights both countries' shared common goals and the challenges faced along the way.
This report is intended for healthcare organisations, healthcare staff, policymakers, higher education institutions and the public to help improve patient safety in how 12-lead electrocardiograms (ECGs) are carried out in ambulance services. It shares findings and recommendations from an investigation that considered the use of ECGs to help identify ST elevation myocardial infarction (a type of heart attack) and the support available to ambulance crews in making this identification.
This webinar will explore the application of the MOMENTS framework (Meanings, Competencies and Materials in Everyday Team Safety) as a practical tool for enhancing local safety cultures across healthcare settings, with a particular focus on perinatal services.
Confidentiality is frequently seen as a key barrier to clinicians working effectively with the family and friends of people experiencing a mental health crisis. This half day interactive course examines misconceptions about confidentiality and information sharing and offers suggestions for ways to develop your practice to offer more support and information to family and friends carers so that they are more confident about what they can reasonably do to keep their family member safe.
Recent PSMN meetings included a session from Claire Cox presenting her work as a patient safety investigator looking at the pressure ulcers on ICU; a mother, Corrine Cope, spoke about the loss of her son Dylan to sepsis; and Melanie Ottewill from HSSIB led a discussion on how organisations learn.
At the October PSPN session, Dr Laura Pickup gave a presentation on fatigue. This was followed by a discussion on the impact of fatigue on patient safety.
Richard Brownhill joined the October meeting to talk about how the environment has an effect on the work we do and how we might support teams to examine their work places as part of patient safety training. Richard shared a tool he has developed as part of his MSc presentation, SPEC (Structured Physical Environment Checklist).
