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Opening remarks delivered by the Chair.

Andrea Jenkyns, MP for Morley and Outwood, House of Commons & Chair, All-Party Parliamentary Group for Patient Safety (CONFIRMED)

Key policy updates on patient safety and future direction

  • The future of healthcare: Improving patient outcomes and experiences by overhauling legacy infrastructure and systems and leading the transformation agenda with experimental digital and data innovations;
  • 21st Century focus on Prevention: Empowering the public to take charge and make better choices about their health and easing the pressure on NHS services;
  • Co-authors of change: Achieving real patient-benefit, in concert with the entire healthcare ecosystem (front-line staff, patients, policy makers and the public), using an outside-in and not top down approach to collaboration;
  • Joining up the NHS: Ensuring fluidity and efficiency in the way patients access the health service by developing better health tools and integrating systems between primary, community, mental health and hospital services; so that the right data is always at the right place and at the right time.
  • Happy & healthy healthcare team: Assessing the potential of the NHS Violence Reduction Strategy in protecting the workforce and further strategies to create a supportive and learning culture that nurtures, engages, and affirms the value of HCP’s, who are the powerhouse behind real patient care and improvements in the NHS and;
  • Preventative, predictive and personalised care: Discussing the progress of the 100,000 genomes project and the next steps for overcoming challenges for translating research into treatments.

Matt Hancock, MP for West Suffolk, Secretary of State for Health & Social Care Department of Health and Social Care (invited)

  • A ‘just’ culture: Leading the transition from blame to a culture which priorities safety over fear and promotes shared learning and transparency;
  • Patient safety specialism: Implementing the right competency framework for frontline staff to effectively track, investigate and prevent incidents and developing a programme for continuous improvement;
  • Dynamic Leadership: Developing a shared leadership agenda which is practical, sustainable, service-specific, value driven and patient-centric;
  • Data driven: Utilising data to inform new safe strategies, to provide demonstrable cumulative benefits for patients and developing standards for shared data collection, benchmarking and reporting and;
  • How patients can engage for improved patients safety, to prevent harm and to be better supported and for shared learning from when things do go wrong.

Helen Hughes, Chief Executive Officer Patient Safety Learning (CONFIRMED)
James Titcombe, Director Patient Safety Learning (CONFIRMED)

  • Building systems that talk: Unlocking improvements in patient safety with agile and integrated technology from health and social care in adherence to the highest privacy standards;
  • Digital adoption: Reducing variance in the adoption and implementation of cutting-edge innovations across the country;
  • Getting true value from big data: Harnessing the power of AI, data science and new wave patient-facing tech to support clinicians, and provide opportunities for early intervention, and the development preventative pathways and;
  • Clinically led transformation: Embedding the clinical voice in digital decision making, identifying pain points and tailoring solutions to meet their needs.

Sarah Wilkinson, Chief Executive NHS Digital (invited)

  • Decisions in good faith: Driving accountability and examining the application of legal sanction in the context of systemic pressure and human factors, which underpin medical errors;
  • Professional Resilience: Reducing professional anxiety and creating an open culture where HCP’s can learn from reflective practice, to drive improvements in patient care;
  • Non-defensive healthcare: Talking candidly about everything that contributes to patient harm and wining the confidence of patients and their families in need of redress and healthcare professionals.

Helen Vernon, Chief Executive NHS Resolution (CONFIRMED)
Matthew McClelland, Director of Fitness to Practise Nursing and Midwifery Council (CONFIRMED)
Amanda Campbell, Chief Executive Officer and Deputy Ombudsman Parliamentary and Health Service Ombudsman (CONFIRMED)

  • A new dawn for incident investigations Reviewing the latest changes to the Serious Incident Framework (2018) and what it means in practice for how the healthcare system should investigate and respond to serious incidents;
  • Next steps for patient safety: Insights into the latest initiatives by NHS Improvement in embedding an open and learning culture across the NHS and ensuring improvement is rapid, effective and system- wide

Dr Aidan Fowler, National Director of Patient Safety NHS Improvement (invited)

  • A safe space for learning: Analysing the practical outcomes of the recent HSIB investigation recommendations and how it is eliminating adverse consequences for patients;
  • Meaningful Safety Action: Encouraging further development of mechanisms for detecting and flagging issues and ensuring that learning is shared across the whole healthcare system;
  • Designing and refining safe systems: Reviewing how HSIB is influencing the NHS system and changing the approach to clinical training, pathway design, culture, skills of trust boards, inspection regime and the regulation of organisations and professions.

Dr Kevin Stewart, Executive Medical Director and Deputy Chief Investigator Healthcare Safety Investigation Branch (CONFIRMED)

  • Practical outcomes of CQC Inspections: Understanding how inspections are improving governance, root cause analysis of investigations, multi-disciplinary working, changes to organisational culture and encouraging outstanding practices and quality improvement initiatives;
  • Shared view of quality: Assessing the metrics used in quality assessments and how trusts can achieve outstanding care provision;
  • Maintaining quality together: Engaging patients, users, providers and commissioners in the development of a multifaceted monitoring processes for deep long-lasting change.

Professor Ted Baker, Chief Inspector of Hospitals Care Quality Commission (invited)

  • Increasing the consistency of patient care and developing evidence-based guidelines, quality standards and technology appraisals to improve patient outcomes;
  • Identifying variations in patient access to treatments and driving access to new and innovative treatments across the NHS.

Professor Gillian Leng, Deputy Chief Executive and Director of Health and Social Care National Institute for Health and Care Excellence (CONFIRMED)

  • Taking the lead on safety: Ensuring patients are present and involved on all levels of healthcare organisation using partnership, co-production and collaborative methods;
  • Participatory healthcare: Changing the health care system to make it fairer, more equitable and empowering patients to take an active part in their healthcare and treatments;
  • Measuring success: Understanding the impact of diverse patient safety improvement activities and how this can be better supported.
  • Learning from deaths: Preventing repeat incidents and deaths by driving system wide processes to learn from incidents, ensure transparency and accountability, and improve safety.

Josephine Ocloo, Patient Speaker (CONFIRMED)
Kathryn Walton, Patient Speaker (invited)
John Kell, Head of Policy Patients Association (invited)
Peter Walsh, Chief Executive Action Against Medical Accidents (CONFIRMED)