Health Services Safety Investigations Body

We investigate patient safety concerns across England to improve NHS care at a national level.

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About us

We aim to be the global leader in professional, high quality healthcare safety investigations. We investigate patient safety concerns across England to improve NHS care at a national level. Our investigations do not find blame or liability with individuals or organisations. Information shared with us is confidential and protected by law.


We are a fully independent arm’s length body of the Department of Health and Social Care.

Find out more about us
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Investigations

We can investigate patient safety concerns that occur in England during the provision of healthcare services, and that have or may have implications for the safety of patients.

Our investigations can consider healthcare provided in the NHS and the independent sector. Where an investigation relates to an incident that did not occur in the NHS, we must consider whether NHS systems and practices could be improved because of our investigation.


We can also be directed to investigate a patient safety concern by the Secretary of State for Health and Social Care.

More about our investigation process
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Education

We offer an education programme to the NHS in England delivered by professional healthcare safety investigation experts.


Our courses are aimed at NHS staff in health and social care settings in England, who are involved in safety investigations for learning. We offer a range of courses and standalone sessions to support development and help embed professional safety investigations across the NHS.


Courses run online and are free of charge to attend for NHS staff in England.

Enrol on a course

Latest investigation reports

A young girl with an unhappy look on her face lies on her side in a hospital bed, hugging her teddy.

Keeping children and young people with mental health needs safe: the design of the paediatric ward

Between 2021 and 2022, nearly 40,000 admissions of children aged 5-18 to an acute inpatient hospital ward were for mental health conditions. Our latest report calls for improvements in the design of paediatric wards to ensure they provide a therapeutic environment.

Read the paediatric ward report
A sad looking woman lies awake on a hospital bed.

Patients at risk of self-harm: continuous observation

Self-harm is one of the most common reasons that people go to hospital. There is limited evidence that the current approach to continuous observation of adult patients at risk of self-harm when on hospitals wards is effective.

Read the self-harm report
Two purple feeding pumps.

Nutrition management of acutely unwell patients in acute medical units

Acute medical units (AMUs) are the first point of entry for some patients who require emergency hospital admission. This investigation seeks to support improvements in identification and management of nutritional needs in AMUs.

Read the nutrition report

News, events and blogs

A young girl with an unhappy look on her face lies on her side in a hospital bed, hugging her teddy.

Safer mental health environment needed in paediatric wards

Our latest report has called for improvements and changes in the design of paediatric wards to ensure they provide a therapeutic environment.
Read the full article
A sad looking woman lies awake on a hospital bed.

Self-harm risk of patients under continuous observation in hospital wards

Our latest investigation has found ‘limited evidence’ that the current approach to continuous observation of adult patients at risk of self-harm when on hospitals wards is effective.
Read the full article
A man packs supplies into crates at a food bank.

Tackling health inequity: observations from an investigation visit

Nichola Crust, Senior Safety Investigator, shares how one primary care network in the north of England is tackling health inequity by building relationships beyond traditional healthcare boundaries, …
Read the full article