Care Quality Commission. The state of health care and adult social care in England 2022/23. 2023. https// (accessed 31 October 2023)

Rethinking patient safety: a discussion guide for patients, healthcare providers and leaders. 2023. https// (accessed 31 October 2023)

Health Services Safety Investigations Body. HSIB legacy. 2023a. https// (accessed 31 October 2023)

Health Services Safety Investigations Body. HSSIB officially launches with aim to drive radical change in patient safety. 2023b. https// (accessed 31 October 2023)

Health Services Safety Investigations Body. Investigation report: Safety management systems - an introduction for healthcare. 2023c. https// (accessed 31 October 2023)

The Report of the Morecambe Bay Investigation. 2015. http// (accessed 31 October 2023)

Reading the signals: Maternity and neonatal services in East Kent – the Report of the Independent Investigation. 2022. https// (accessed 31 October 2023)

Making Families Count. Compassionate communication, meaningful engagement: A best practice guide for supporting patients and families after a patient safety event. 2023. https// (accessed 31 October 2023)

Police to launch inquiry into maternity failings at Nottingham hospitals trust. 2023. https// (accessed 31 October 2023)

Developing perspectives in NHS patient safety

09 November 2023
Volume 32 · Issue 20


John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses some recent patient safety and health quality reports

There is a lot written on patient safety both nationally and internationally with many stakeholders all keen to advance their perspectives. Health is everybody's business, and such engagement is understandable and necessary. The patient safety culture debate is kept alive by such dialogue and policies, and practices can become better informed. The difficulty for busy staff, as I have stated before, is keeping up to date with all this information, distilling and applying appropriate findings. Reports need to be effectively analysed and relevant information distilled, cascaded down to appropriate teams and staff. This, however, is much easier said than done.

In terms of patient safety improvement practices and culture development, a recent report published by Healthcare Excellence Canada (Gilbert et al, 2023) provides some interesting and valuable perspectives. A call for a new patient safety approach is made and there is much food for thought. Progress in improving patient safety has not been as straightforward as expected, with fewer gains. The authors argue a change in patient safety mindset is needed, and consider how this might be achieved. There is a need to shift focus from measuring and responding to harm to taking a more holistic, system-wide view:

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content