This report synthesises the lessons from the Health Foundation’s work on improving patient safety. Part I illustrates why improving safety is so difficult and complex, and why current approaches need to change. Part II looks at some of the work being done to improve safety and offers examples and insights to support practical improvements in patient safety. In Part III, the report explains why the system needs to think differently about safety.
The report includes specific resources to contribute to the next phase of safety improvement in the NHS:
- For people improving safety at the front line, there is a checklist for safety improvement to be used when developing solutions to safety problems.
- For leaders of provider organisations, three practical steps are given that need to be taken to build an organisation-wide approach to continually improving safety. We have also brought together ten Health Foundation resources to support leaders to do this.
- For government, quality regulators and national bodies with a remit for patient safety, The Health Foundation sets out its vision for an effective safety system, which current activities and ambitions should be assessed against.