Health Services Safety Investigations Body (HSSIB)

A picture of a black patient lying n a bed being treated in an an ambulance. They have a pained expression on their face and eyes closed. To the left of the patient as you look at the screen there are two paramedics in green uniforms treating the patient. One paramedic is a white male with dark short hair and a beard, the second paramedic is a white female with red curly hair with her face side on to the camera, There is a also an arrow shaped banner (going from left to right) with a green background and the full title of the investigation '12-lead electrocardiograms (ECGS) in ambulance services: diagnosis of a suspected ST elevation myocardial infarction (STEMI).

🆕 REPORT
➡️ 12-lead electrocardiograms (ECGs) in ambulance services: diagnosis of suspected ST elevation myocardial infarction (STEMI)
📖 Read the report: buff.ly/O46PjqG

#PatientSafety #NHS #Healthcare #ECG

Our Board The Health Services Safety Investigations Body (HSSIB) is an independent arms-length body of the Department of Health and Social Care, governed by our Board. They are actively involved in our…

📆 One month to go until the next HSSIB Board meeting. It takes place on Wednesday 26 November 2025 at Lincoln County Hospital (or online). We welcome our health and care colleagues and the public to join, to find out more about our work: buff.ly/wB1iJDM #PatientSafety #NHS #Healthcare

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New report coming soon...

Subscribe to the HSSIB mailing list and get our investigation reports sent straight to your inbox, plus find out first when enrolment opens for our in-demand patient safety education courses.

Subscribe now: buff.ly/HPgyLjT

#PatientSafety #NHS #Healthcare

Responding to the #StateofCare report from The CQC, Our Chief Executive @rosiebe.bsky.social emphasises that we are seeing many of the same risks and concerns raised in our investigations, especially in relation to fragmented care. See our full response.
www.hssib.org.uk/news-events-...

Patient safety in Japan: a brief history In the first of three guest blog posts for HSSIB, Professor Shin Ushiro discusses Japan’s patient safety journey, similarities with other countries and future perspectives.

Earlier this year, Prof Shin Ushiro wrote a series of guest blog posts for us about #PatientSafety in Japan. In them he discusses Japan’s patient safety journey, their national reporting and learning system, and no-fault compensation system for birth injury. Read the blog posts:

Join our team. Safety Investigator. Help to deliver robust and timely investigations that drive improvements in patient safety across England.

📢Job vacancy update: applications for our Safety Investigator role now close on Wednesday 22 October 2025. Find out more and apply now: www.jobs.nhs.uk/candidate/jo... #PatientSafety #NHSJobs

Dr Rosie Bennyworth from @hssib.bsky.social delivers the first keynote speech at the #SafetyNetSymposium2025

Our response to the NAO report on clinical negligence — HSSIB <p data-block-key="il1ac">A <a class="" href="https://www.nao.org.uk/wp-content/uploads/2025/10/costs-of-clinical-negligence-report.pdf">new report from the National Audit Office (NAO</a>) considers t...

A new report today from the @nao.org.uk highlights the increase in clincal negligence costs over the past two decades.

Read our response to the report: www.hssib.org.uk/news-events-...

HSSIB at the HSJ Summit: Delivering the 10-Year Health Plan. Rosie Benneyworth, Interim Chief Executive at the Health services Safety Investigations Body.

Did you catch @rosiebe.bsky.social at the #HSJSummit? Rosie highlighted findings from our upcoming report, which provides a thematic review of #PatientSafety issues associated with #EPR systems. Subscribe to get the report delivered directly to your inbox: 29b35612.sibforms.com/serve/MUIFAA...

Open Access Government October 2025 Welcome to the October 2025 edition of Open Access Government. Inside find a diverse selection of insightful articles from key industries and sectors

Our Senior Safety Investigator Nick Woodier has authored an article in the latest issue of Open Access Government, on the topic of patient safety in the age of digital healthcare.

Read the article online (p. 68-69): www.openaccessgovernment.org/publication/...

#PatientSafety #NHS #Healthcare

This #WorldMentalHealthDay, we highlight our recently launched investigations that explore #PatientSafety issues associated with care pathways for people experiencing a mental health crisis who come into contact with urgent and emergency care services. Find out more: buff.ly/Wyw8ii9 #WMHD2025

Investigating under the Patient Safety Incident Response Framework (PSIRF): sharing HSSIB learning for future development.

🆕 REPORT
➡️ Investigating under the Patient Safety Incident Response Framework (PSIRF): sharing HSSIB learning for future development
📖 Read the report: buff.ly/KezjcNT
🎬 Watch a short summary video: buff.ly/pdk7nc4

#PatientSafety #NHS #Healthcare #PSIRF

Join our team. Safety Investigator. Help to deliver robust and timely investigations that drive improvements in patient safety across England.

📢JOB VACANCY

➡️Safety Investigator
🔹Agenda for Change (AfC) Band 8b
🔹Fixed term for 18 months
🔹Home based

Apply now, closing date is 26 October 2025: www.jobs.nhs.uk/candidate/jo...

#PatientSafety #NHSJobs

Subscribe to the HSSIB mailing list.

Subscribe to the HSSIB mailing list and get our investigation reports delivered to your inbox as soon as they’re published.

Subscribe now: buff.ly/Pk9Uag2

#PatientSafety #NHS #Healthcare

Group photo of colleagues from the Health Services Safety Investigations Body and The Norwegian Healthcare Investigation Board (Ukom) at the Ukom office in Norway.

🌍Team HSSIB went international this week. We were in Norway to deliver our ‘SEIPS in Action’ course to The Norwegian Healthcare Investigation Board (also known as Ukom). Thank you to Ukom for the warm welcome and inspiring conversations #PatientSafety #SEIPS #HumanFactors

Join our team. Engagement Lead. We are seeking a forward-thinking individual with a passion for inclusive engagement and insight-driven approaches.

Last chance to apply! Applications for our Engagement Lead role close tomorrow, Thursday 25 September 2025. Find out more and apply now: buff.ly/Zcc4Zj6 #NowHiring #NHSJobs #PatientSafety

Notification of investigation. Providing examples of mental health investigations under the Patient Safety Incident Response Framework (PSIRF).

We've launched 3 investigations to provide examples of #MentalHealth investigations under the Patient Safety Incident Response Framework (#PSIRF). The learning will be widely applicable, to all mental health services in England. Find out more: www.hssib.org.uk/patient-safe... #PatientSafety #NHS

Guest blog by Gareth Owens from Aortic Dissection Awareness UK & Ireland. HSSIB impact: life-saving difference for acute aortic dissection patients.

To mark Global Aortic Dissection Awareness Day, Gareth Owens guest blogs about the impact of two HSSIB reports, with hundreds more people now receiving life-saving emergency aortic surgery every year. Read the blog: buff.ly/r81lr8Z #AorticDissection #ThinkAorta #PatientSafety

Earlier this week, Team HSSIB were in Manchester for HSJ Patient Safety Congress. Did you spot Nick Woodier, Jonathan Back, Matt Mansbridge and Richard McMaster on the stage? If you were there, but missed them, attendees will be able to watch the sessions on-demand later this month.

WHO calls for safe care for every newborn and every child Today – 17 September 2025 – is World Patient Safety Day. Led by the World Health Organization (WHO), it’s an opportunity to raise public awareness, foster collaboration between organisations and mobil...

This year’s call to action on #WorldPatientSafetyDay is ‘safe care for every newborn and every child’. We recap the 23 reports and more than 60 recommendations we’ve published that aim to improve care for patients, including newborns and children. Read more: www.hssib.org.uk/news-events-...

A graphic for World Patient Safety Day 2025 with the title “Why is safe health care for children so important?”. It shows two children holding flowers at the top. Four key points are highlighted: (1) Children face higher risks – even small errors can cause lifelong harm. (2) Children need care that fits their age, weight and development. (3) Children can’t speak up — they rely on adults to keep them safe. (4) Safety takes teamwork — families and health workers working together.

Today is #WorldPatientSafetyDay

Children aren’t small adults. They need safe care tailored to their:

🧸 Age
🧸 Weight
🧸 Development
🧸 Medical needs
🧸 Ability to communicate
🧸 Context

Learn why we need to ensure safe care for all children from the start👉 bit.ly/WPSD2025WHO #PatientSafety

Notification of investigation. Safety issues for people experiencing a mental health crisis who come into contact with urgent and emergency care services.

We’ve launched two new investigations:

➡️Mental Health Crisis: Care of patients in emergency departments
➡️Mental Health Crisis: Ambulance service response via NHS 111 and 999

Find out more and get involved: www.hssib.org.uk/patient-safe...
#PatientSafety #NHS #Healthcare #MentalHealth

Join our team. Engagement lead. We are seeking a forward-thinking individual with a passion for inclusive engagement and insight-driven approaches.

📢 JOB VACANCY

➡️ Engagement Lead
🔹 Agenda for Change (AfC) Band 7
🔹 Full-time
🔹 Fixed term for 12 months
🔹 Home based

Apply now, closing date is 25 September 2025: www.jobs.nhs.uk/candidate/jo...

Look out for Team HSSIB at @events.hsj.co.uk Patient Safety Congress next week. Nick Woodier, Jonathan Back, Matt Mansbridge & Richard McMaster will take to the stage to speak on palliative care postcode lottery, safety management systems and standards for professional investigators. See you there!

Enrol on a course Browse and enrol on a Health Services Safety Investigations Body (HSSIB) course. Our patient safety investigation courses are available free of charge to the NHS in England and to learners from outsid...

➡️ Join the waitlist ⬅️

All our courses this autumn/winter are now full, but you can still join the waitlist. Please complete the course booking form in full and you will be notified if a place becomes available. Take a look at our course list: www.hssib.org.uk/education/en... #PatientSafety

Enrol on a course Browse and enrol on a Health Services Safety Investigations Body (HSSIB) course. Our patient safety investigation courses are available free of charge to the NHS in England and to learners from outsid...

Hurry! Only three places remain on our autumn/winter courses. If you’re thinking about undertaking our CPD accredited 'Investigative Interviewing' short course, enrol now: www.hssib.org.uk/education/en...

#PatientSafety #NHS #Healthcare

YouTube video by Health Services Safety Investigations Body A recap of our Annual Report and Accounts 2024/25

ICYMI, we published our Annual Report and Accounts during the summer. It marks a year of rapid progress and driving impact in patient safety. Take a look at our short video for a recap: youtu.be/lZ1tTNc4FBI?... #PatientSafety #AnnualReport #NHS #Healthcare

Subscribe to the HSSIB mailing list.

Subscribe to the HSSIB mailing list and we’ll send you tailored emails and information about our organisation and work. Mailing list subscribers are the first to find out when our in-demand education courses open for enrolment.

Subscribe now: buff.ly/KSnOnVq

#PatientSafety #NHS #Healthcare

Enrol on a course Browse and enrol on a Health Services Safety Investigations Body (HSSIB) course. Our patient safety investigation courses are available free of charge to the NHS in England and to learners from outsid...

Our patient safety education courses for autumn/winter are almost full!

Final few places remain for:
🔹Investigative interviewing
🔹Involving those affected by patient safety incidents in the learning process

Enrol now: www.hssib.org.uk/education/en...

#PatientSafety #HSSIB #NHS #Healthcare

Notification of investigation: patient care in temporary care environments.

We’ve launched a new investigation that’s looking at:
🔹Use of temporary care environments.
🔹The needs of patients, including vulnerable patient groups, and associated issues.
🔹Impact on patients and staff and how organisations manage issues.

Get involved: www.hssib.org.uk/patient-safe...