Health Services Safety Investigations Body (HSSIB)

Blog: why I worry the NHS could slip backwards on patient safety. By Dr Ted Baker CBE, Health Services Safety Investigations Body Chair.

Expanding on a recent piece he wrote for the Health Service Journal, HSSIB Chair Ted Baker blogs about lessons from safety investigations, the confusion between safety and quality, culture under pressure and why this matters now.

Read Ted’s blog: buff.ly/KZWI3hY

#PatientSafety #NHS #Healthcare

Our response to the NMC Spotlight report — HSSIB <p data-block-key="vscmk">The Nursing and Midwifery Council (NMC) have published a <a class="" href="https://www.nmc.org.uk/globalassets/sitedocuments/data-reports/insight-spotlight/2025/spotlight-rep...

🆕The The Nursing and Midwifery Council published an important Spotlight report yesterday. Our Interim Chief Executive @rosiebe.bsky.social shares her perspective on the report findings ➡️

www.hssib.org.uk/news-events-...

#PatientSafety #NMC #Nursing #Midwifery

Blog. Making cancer care safer: what we've learnt from our investigations. By Scott Hislop, Deputy Director of Investigations.

To mark World Cancer Day, Scott Hislop – Deputy Director of Investigations at HSSIB – blogs about the impact of seven of our past investigation reports that touch upon care for patients with cancer: buff.ly/DHfez87 #WorldCancerDay #PatientSafety #NHS #Healthcare

Learner feedback about After Action Review: "Overall, the session has enhanced my confidence in applying the After Action Review approach in practice and recognising its value in improving patient care and team learning."

Learner feedback on Demystifying Thematic Analysis: "The course was really helpful and has supported me developing more confidence in my understanding and ability to use thematic analysis in the context of healthcare safety investigations."

Looking for a training opportunity to boost your confidence when carrying out patient safety investigations? Learners frequently say they feel more confident after taking one of our online courses. Find out more and enrol now: www.hssib.org.uk/education/en...

Response to report that focuses on global collaboration to improve patient safety — HSSIB <p data-block-key="rsbov">The Institute of Global Health Innovation at Imperial College London and Patient Safety Watch have published their annual <a class="" href="https://www.imperial.ac.uk/Stories...

Yesterday the Institute of Global Health Innovation at Imperial College London and @patientsafetywatch.bsky.social published their Global State of Patient Safety Report 2025

Read our response from our Interim Chief Executive, @rosiebe.bsky.social

#PatientSafety #NHS #GlobalHealth

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 our next Board meeting. Come along in-person in London, or online, to find out more about our patient safety work.

Register to attend: buff.ly/KQw9K2K

#PatientSafety #NHS #Healthcare #BoardMeeting

Join our team: HR Policy and Project Manager. We are seeking a CIPD qualified practitioner, with experience of working in the NHS, to join us on secondment or a fixed term contract.

Last chance to apply – applications to join our HR team close on Sunday 25 January.

Find out more: buff.ly/yPOAbbL

#NHSJobs #HRJobs

A happy male student wearing glasses and headphones works at his laptop in a library. Text reads: enrol now.

>> Spotlight on Demystifying Thematic Analysis <<

What: patient safety investigation course
Where: live online workshop (3.5 hours)
When: dates available in January, February and March 2026
How to enrol: buff.ly/Oloa9Tt

#PatientSafety #NHS #Healthcare

The NHS risks going backwards on patient safety NHS organisations are beginning to shift from blame-focused incident management to systems-based learning. But with old cultures still deeply embedded and operational pressures mounting, leaders and r...

New article by our Chair, Ted Baker CBE, just published on the HSJ website: www.hsj.co.uk/patient-safe... #PatientSafety #SafetyScience #SystemsThinking #NHSLeadership

Notification of investigation. Electronic patient record systems - electronic referrals for ongoing care. Electronic patient record systems - risk from loss of functionality.

We’ve launched two new investigations that look at #EPR systems. We are keen to hear from anybody with an interest in this subject matter. This includes patients, families, carers and health and care professionals who may wish to share their experience. Find out more: buff.ly/6vaxlnV #PatientSafety

A woman wearing a headscarf and headphones works at a laptop.

>> Spotlight on An Introduction to After Action Review <<

What: patient safety investigation course
Where: live online workshop (3.5 hours)
When: dates available in February and March 2026
How to enrol: buff.ly/Oloa9Tt

#PatientSafety #NHS #Healthcare #AfterActionReview #PSIRF

Join our team: HR Policy and Project Manager. We are seeking a CIPD qualified practitioner, with experience of working in the NHS, to join us on secondment or a fixed term contract.

Job vacancy: HR Policy and Project Manager

• Agenda for Change (AfC) Band 7
• Part-time
• Fixed term for 12 months
• Home based

Closing date is Sunday 25 January 2026.

Apply now: www.hssib.org.uk/work-for-us/

#NHSJobs #HRJobs

A male healthcare professional wearing blue scrubs kneels next to a female patient laying on a hospital bed in a corridor. Text reads: new report. Patient care in temporary care environments.

🆕 REPORT
➡️ Patient care in temporary care environments
📖 Read the report: buff.ly/w8KKiUP

#PatientSafety #NHS #Healthcare #CorridorCare

Subscribe to the HSSIB mailing list.

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/krkqC1G

#PatientSafety #NHS #Healthcare

HSSIB Chair awarded CBE in New Year Honours List Ted Baker, Chair of the Health Services Safety Investigations Body (HSSIB), has been named a Commander of the Order of the British Empire (CBE) in the New Year Honours List 2026 for services to health...

Congratulations to Ted Baker, our Chair, for his well-deserved recognition in the New Year Honours List 2026.

Read more: www.hssib.org.uk/news-events-...

#PatientSafety #NHS #Healthcare #NewYearHonoursList

Merry Christmas and a happy New Year from the HSSIB team.

A young black woman with long braided hair and glasses takes notes whilst working at her laptop in her living room. Test reads: enrol now.

Enrol now for our patient safety courses running from Jan to Mar 2026. Our short courses run online and are CPD accredited. Spaces are available for NHS learners in England (free) and other learners (subject to fee). Spaces are limited and fill up fast, so please enrol now: buff.ly/ft5DcYf

Close up of a Black woman's hands, typing on a laptop keyboard.

📢 Last chance to complete our education survey before it closes tomorrow – share your insight and help us develop a new direction for our education programme. We're keen to hear from people who have participated in our courses and healthcare colleagues. Complete the survey: buff.ly/8x5aEFu

International Day of Persons with Disabilities, 3 December.

To mark International Day of Persons with Disabilities, we highlight two of our past investigation reports.

Medicine omissions in learning disability secure units: www.hssib.org.uk/patient-safe...

Caring for adults with a learning disability in acute hospitals: www.hssib.org.uk/patient-safe...

A young woman sits at a desk next to a large, bright window. She's taking part in an online meeting and nine other people are displayed on her computer screen. Text reads: education programme review.

📢Last chance to register. Please join us online tomorrow, 9-10am, for our education workshop – help us develop a new direction for our education programme. We're keen to hear from people who have participated in our courses and healthcare colleagues. Register: www.tickettailor.com/events/kalei...

A large group of people - some in smart business dress, some in hospital scrubs - stand together smiling at the HSSIB Board meeting.

A big thank you to the hosts of our Board meeting earlier this week, United Lincolnshire Teaching Hospitals NHS Trust. We met with their Board and patient safety team to hear about their patient safety approach and priorities, plus share learning.

#PatientSafety #NHS #Healthcare #HSSIB

A clinician wearing blue scrubs holds an iPad. The text reads: patient safety issues associated with electronic patient record (EPR) systems - a thematic review.

🆕 REPORT
➡️ Patient safety issues associated with electronic patient record (EPR) systems – a thematic review
📖 Read the report: buff.ly/eXLd5vK

#PatientSafety #NHS #HSSIB #Healthcare #EPR

A smiling young woman wearing gold rimmed glasses and an orange jumper sits in front of an open laptop. Text reads 'Education programme review.'

Help us develop a new direction for our education programme. We're keen to hear from people who have participated in our courses and healthcare colleagues.
🔹Complete a survey: survey.alchemer.eu/s3/90955539/... (closes 5 Dec)
🔹Join us online for a workshop: www.tickettailor.com/events/kalei...

A group of HSSIB, DHSC and NHS Race and Health Observatory Leaders sitting in a room around a large table.

Last week we held a roundtable with @hssib.bsky.social to discuss how we can reduce racial bias and discrimination in patient safety investigations.

Insights will feed into a joint policy briefing as well as guidance to ensure that investigations are fairer and better support improvements for all.

Subscribe to the HSSIB mailing list.

New report coming soon...

Subscribe to the HSSIB mailing list and get our investigation reports sent straight to your inbox.

Subscribe now: 29b35612.sibforms.com/serve/MUIFAA...

#PatientSafety #NHS #Healthcare

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 strategi...

📆One week to go until the next HSSIB Board meeting. It takes place on Weds 26 Nov at Lincoln County Hospital. We encourage our health and care colleagues and the public to join, in person or online, to find out more about us.

www.hssib.org.uk/about-us/our...

#PatientSafety #NHS #Healthcare

Have you completed our education programme review survey, or signed up to join the online workshop yet?

📝Complete the survey: survey.alchemer.eu/s3/90955539/...

💻Sign-up for the online workshop: www.tickettailor.com/events/kalei...

#PatientSafety #NHS #Healthcare

Education programme review We are starting a process aimed at helping us to develop a new direction for our education programme. We want to gather perspectives from a range of stakeholders to shape the final outcome.

We're reviewing our education programme and want to hear from you, to help shape what we offer in future. Read more on our website, then complete our survey or join us at an online workshop: buff.ly/CBVdvW8 #PatientSafety #NHS #Healthcare

Notification of investigation. The prescribing of lithium for bipolar disorder.

Around 1 in 50 adults experience #BipolarDisorder within their lives. Whilst the number of people with bipolar disorder has remained consistent over time, prescribing of lithium has been in decline for decades. Find out more and get involved with this investigation: www.hssib.org.uk/patient-safe...

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