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A man in scrubs intently using a tablet computer in a clinical setting.
News

Ongoing risk of harm linked to electronic patient record systems

27 November 2025

Our latest report emphasises how electronic patient record (EPR) systems still contribute to patient care being missed, delayed or recorded incorrectly. This is despite national recommendations and a…
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A young woman with a pained expression lies in an ambulance with her eyes closed while two paramedics treat her.
News

Report identifies risks in ambulance ECG interpretation and timely STEMI diagnosis

30 October 2025

Our latest report highlights the challenges faced by ambulance crews in interpreting ECGs when a patient has a suspected type of heart attack known as an ST Elevation Myocardial Infarction (STEMI).
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News

Our response to the Care Quality Commission’s State of Care 2024/25 report

24 October 2025

The State of Care report is the Care Quality Commission’s (CQC) annual assessment of the quality of health and social care in England.
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News

Our response to the Care Quality Commission’s State of Care 2024/25 report

24 October 2025

The State of Care report is the Care Quality Commission’s (CQC) annual assessment of the quality of health and social care in England.
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News

Our response to the NAO report on clinical negligence

17 October 2025

A new report from the National Audit Office (NAO) considers the cost of clinical negligence in England.
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News

Report highlights healthcare staff have welcomed shift under patient safety incident investigation framework

9 October 2025

Our latest report has found that NHS staff have been positive about the impact that the Patient Safety Incident Response Framework (PSIRF) can have on patient safety. However, it also reveals that mo…
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Close-up view of the back doors of an ambulance, against a grey sky. The blue emergency lights are switched on.
Blog

HSSIB impact: life-saving difference for acute aortic dissection patients

19 September 2025

To mark Global Aortic Dissection Awareness Day, Gareth Owens from the national patient charity blogs about the impact two HSSIB reports have had, with hundreds more people now receiving life-saving e…
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The logo for World Patient Safety Day 2025.
News

WHO calls for safe care for every newborn and every child

17 September 2025

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 mobi…
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News

Report highlights importance of national response to maternity safety concerns

19 August 2025

Today, we published a new report and reiterates that challenges in maternity and neonatal safety are the result of systemic issues at a national level, rather than isolated issues within local areas.
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A female nurse gives an older woman medical pills.
News

Report emphasises importance of clear information to support safe and timely medication administration post hospital discharge

14 August 2025

We have published a report today highlighting the importance of sharing patient information between services effectively and ensuring patients are confident in medication self-administration before h…
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Aerial view of a prison site in the English countryside.
News

Report highlights IT and data sharing challenges affect safety of prison healthcare

24 July 2025

Our latest report has identified risks to patient safety due to poor interoperability between digital systems and challenges with GP registration processes in prisons.
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An image of a navy blue banner with the words Annual Report and Accounts 2024 slash 2025 it. The words Annual Report and Accounts is in white and the 2024 slash 25 is in yellow. There is also a teal coloured line underneath the wording
News

Second annual report marks a year of rapid progress and driving impact in patient safety

23 July 2025

Our second Annual Report and Accounts has been published, highlighting a full year of investigation, learning and transformation.
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A district nurse cares for an elderly man with a head injury in his living room at home.
News

Investigation finds patients suffer harm as electronic communications fail to support their safe discharge from hospital

10 July 2025

Patients are coming to harm due to failures in the way critical clinical information is electronically communicated when they are discharged from hospital.
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News

10 year plan recognises importance of HSSIB for the future of patient safety

3 July 2025

We welcome the publication today of the NHS 10 Year Health Plan. It recognises the importance of our work and gives us clear direction for the future. We will continue to address systemic patient saf…
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News

HSSIB’s work to address patient safety concerns continues as usual

30 June 2025

Our work to address systemic patient safety concerns continues as usual, whilst we await the publication of the NHS 10 Year Health Plan and the Dash review of patient safety organisations.
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News

Investigation reports highlight ongoing challenges in early diagnosis of sepsis

26 June 2025

Despite extensive national work and awareness campaigns, the recognition of sepsis remains an urgent and persistent safety risk, according to three reports published today.
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A brightly lit corridor on a hospital paediatric ward. The space is clear, clean and predominantly white, with a colourful mural running along one wall.
Blog

Designing paediatric wards to support mental health

20 May 2025

Saskia Fursland, Senior Safety Investigator, blogs about her visit to a newly opened paediatric ward where its design has carefully considered children and young people with mental health needs. Sask…
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Events

Webinar: mental health care in inpatient settings

14 May 2025

A webinar to discuss our series of patient safety investigations looking at mental health inpatient care, directed by the Secretary of State for Health.
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A female clinician crouches to reassure and help a male patient who sits on the floor with his head in his hands.
News

More must be done to stop reoccurring harm in mental health

13 May 2025

Critical recommendations to improve mental health inpatient services are too often not implemented, which leads to missed opportunities to learn, improve and prevent harm to patients and NHS staff, a…
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Sophie Hide, Senior Investigation Science Educator, stands next to her poster presentation in a conference hall.
News

Education team present safety investigator competencies work at annual human factors conference

7 May 2025

Sophie Hide, Senior Investigation Science Educator, represented HSSIB at ‘Ergonomics & Human Factors 2025’ which took place over three days in Burton upon Trent in April.
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News

Stephen Carruthers appointed as Finance and Resources Director

30 April 2025

Following a successful recruitment process we have appointed Stephen Carruthers to the role of Finance and Resources Director. He will take up the position on 1 June 2025.
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Portrait of a male paramedic wearing a bright yellow jacket.
News

HSSIB responds to growing number of violent assaults against ambulance staff

25 April 2025

The Association of Ambulance Chief Executives (AACE) has this week published data that shows the number of violent incidents against UK ambulance staff has reached 22,500 a year for the first time ev…
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News

Report warns NHS staff fatigue is still not recognised as a serious risk to patient safety

24 April 2025

Fatigue amongst NHS healthcare staff poses a significant yet under-recognised risk to patient safety, says our latest investigation report.
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A district nurse cares for an elderly man with a head injury in his living room at home.
News

Frequent failures in co-ordinating care for patients with long-term health issues

10 April 2025

A lack of co-ordination of care for people with long-term health conditions is taking a toll on patients and carers. As a result they experience burnout, distress and harm, says our latest report.
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News

HSSIB takes to the world stage at patient safety summit

7 April 2025

The 7th Global Ministerial Summit for Patient Safety took place last week (3-4 April 2025) in Manila, Philippines. Dr Rosie Benneyworth took to the stage to help kick-off the first day of the summit …
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News

Our response to ‘The Safety Gap’ report

1 April 2025

A new report from the Patient Safety Commissioner shows that people with sensory impairment experience a safety gap with medicines and medical devices.
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A young woman with a pained expression lies in an ambulance with her eyes closed while two paramedics treat her.
News

Report highlights concerning variation in paramedic ECG education and training

27 March 2025

HSSIB’s latest report calls for more consistency in the way paramedics are educated and trained to carry out and interpret ECGs of patients who could be critically ill.
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News

HSSIB celebrates making the shortlist for HSJ Digital Awards 2025

17 March 2025

We are very pleased to announce that the Health Services Safety Investigations Body (HSSIB) has been shortlisted in the ‘Digital Clinical Safety Award’ category at the HSJ Digital Awards 2025.
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A female nurse speaks with an elderly male patient laying in a hospital bed. She is using a digital tablet device.
News

Learning prompts for hospitals to improve anticoagulation medication safety

13 March 2025

We’ve published a report that examines a patient safety event involving an 87-year-old man on anticoagulation medication. The report demonstrates the highly complex and dynamic nature of clinical dec…
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Blog

Patient safety in Japan: no-fault compensation for birth injury

3 March 2025

In the last of three guest blog posts for HSSIB, Professor Shin Ushiro talks us through the no-fault compensation system for birth injury in Japan, in particular how they worked with patients and fam…
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Blog

Patient safety in Japan: national reporting and learning system

20 February 2025

In part two of three guest blog posts for HSSIB, Professor Shin Ushiro talks us through the development of the national reporting and learning system in Japan, and its value to frontline healthcare s…
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A smiling health visitor wearing green scrubs helps an older woman to walk in her home.
News

Report finds there is no 'consistent' approach to managing safety risks when patients' care spans multiple providers

13 February 2025

Our latest report found that integrated care boards (ICBs) do not have visibility of some patient safety risks, which impacts on their ability to effectively deal with those risks to keep patients sa…
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Blog

Patient safety in Japan: a brief history

5 February 2025

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.
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News

Report ‘evidences a system still not learning’ from mental health inpatient deaths

30 January 2025

Significant systemic issues, lack of patient and family involvement and cultures of fear and blame contribute to mental health services not learning from inpatient deaths, says our latest report.
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News

Our response to increased violence against ambulance staff

7 January 2025

Dr Rosie Benneyworth responds to new statistics that show ambulance services are on course for the highest rate of reported incidents of violence.
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News

Response to National State of Patient Safety Report 2024

19 December 2024

In welcoming the report, its findings and recommendations, Chief Executive, Dr Rosie Benneyworth says:
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Blog

Consolidating safety investigation: Finland’s journey and the influence of the HSSIB

19 December 2024

In our latest guest blog post, Hanna Tiirinki of the Safety Investigation Authority Finland cites how HSSIB has significantly influenced Finland’s approach at the beginning of its national safety inv…
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An AI generated image of a young person and an adult stood back-to-back, one on a young person's ward and one on an adult ward.
News

Report explores keeping young people safe when moving between mental health services due to reaching adulthood

12 December 2024

Moving from inpatient children and young people’s mental health services due to a change in age rather than a change in need can have a significant impact on young people, their families and carers, …
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Two ambulances parked outside a hospital emergency department entrance.
News

Report highlights impact of emergency departments missing or delaying ‘time critical’ medication for patients with existing conditions

5 December 2024

We’ve published a report examining the case of a patient who did not receive time critical Parkinson’s medication whilst attending an emergency department.
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Blog

How HSSIB contributes to patient safety: a view from Sweden

3 December 2024

The leadership team of the Swedish Accident Investigation Authority compare their capacity for healthcare safety investigations to that of HSSIB and highlight how our international counterparts consi…
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Empty chairs outside double doors leading to an outpatients department in an NHS hospital.
News

Dignity fears contribute to prisoners not attending hospital or clinic appointments

28 November 2024

Our latest report raises concerns over female prisoners privacy and dignity after an investigation found they are often taken to outpatient appointments by male prison officers.
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News

Harm caused by mental health out of area placements

21 November 2024

Patients experience harm with the continued use of ‘inappropriate’ out of area placements for their mental health inpatient care, says our latest report.
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News

HSSIB stops posting on X

18 November 2024

We have been reviewing the use of our social media channels and have taken the decision to stop posting updates on X from today.
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Blog

How HSSIB contributes to patient safety: a view from Australia

4 November 2024

Professor Peter Hibbert from the Australian Institute of Health Innovation reflects on how HSSIB contributes to improved patient safety, plus our education offering and areas for improvement.
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News

Our response to the Care Quality Commission State of Care report 2023/24

25 October 2024

Following the publication of the State of Care report, HSSIB’s Chief Executive, Dr Rosie Benneyworth says:
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News

Report emphasises importance of therapeutic care in mental health units and wards

24 October 2024

We have published the first of our investigations into mental health inpatient settings and make recommendations to ensure that therapeutic care is a priority.
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News

Our response to the Dash Review

15 October 2024

Review of patient safety across the health and care landscape.
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Blog

The investigator’s toolkit: FRAM

9 October 2024

David Fassam, Senior Safety Investigator, continues our series of blogs that take a look at the methods we use in our patient safety investigations. Next up is the Functional Resonance Analysis Metho…
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News

Our response to the Lord Darzi Review

12 September 2024

Following the publication of Lord Darzi’s Independent Investigation into the NHS in England, HSSIB’s Chief Executive, Dr Rosie Benneyworth says:
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A female British Asian healthcare worker makes a hospital bed.
News

Discrimination stops temporary workers speaking up about safety concerns

5 September 2024

Our latest investigation report reveals there is widespread discrimination against temporary staff in the NHS and this creates a culture of fear that stops them speaking up about patient safety.
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Aerial view of a prison site in the English countryside.
News

Unnecessary 999 calls from prisons lead to a ‘significant’ loss in ambulance crew time

29 August 2024

Ambulance crews spend significant time diverting resources to 999 callouts in prisons that are cancelled or not a serious enough medical emergency, says our latest report.
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