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A young diabetic woman holds a syringe pen to inject insulin.
News

HSSIB identifies inequitable support for people with a learning disability to safely self-administer insulin

13 August 2026

Our latest investigation report has identified that people with a learning disability, who have diabetes and administer insulin, have come to harm because of gaps in healthcare services and inequitab…
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Blog

Building a safer future for patients

5 August 2026

As we approach our third birthday and following publication of our latest annual report, HSSIB Chair, Dr Ted Baker, reflects on the difference our work has made for the safety of patients.
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News

HSSIB publishes second mental health PSIRF exemplar investigation

30 July 2026

HSSIB has published a new investigation report demonstrating how the Patient Safety Incident Response Framework (PSIRF) can be used to investigate patient safety incidents and identify opportunities …
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Young woman wearing a baggy long sleeve jumper meets with her doctor.
News

HSSIB publishes second mental health PSIRF exemplar investigation

30 July 2026

HSSIB has published a new investigation report demonstrating how the Patient Safety Incident Response Framework (PSIRF) can be used to investigate patient safety incidents and identify opportunities …
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News

Annual report showcases HSSIB’s growing impact on patient safety

16 July 2026

Our third Annual Report and Accounts, published today, sets out our progress in strengthening patient safety across the NHS in England through independent investigation, learning and system-wide infl…
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News

Our response to the quality strategy for NHS-funded care in England

14 July 2026

The National Quality Board has published its quality strategy for NHS-funded care in England. The strategy provides a new structured approach to making quality the organising principle for all NHS ac…
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News

Our response to the Independent National Maternity and Neonatal Investigation

30 June 2026

We need a different approach to maternity safety in light of Baroness Amos’s report today. Too many women, babies and families are not getting safe healthcare and this urgently needs to change.
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News

Patients at risk as NHS and online prescriptions not joined up, report finds

25 June 2026

Patients who use online prescription services may be at risk of harm because the clinicians treating them do not have access to a complete picture of their health information.
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News

Our response to the Ockenden report

24 June 2026

Today, Donna Ockenden has published the findings of the Independent Review of Maternity Services at Nottingham University Hospitals NHS Trust. This is a significant moment for maternity safety, and o…
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Blog

Culture follows structure

19 June 2026

Ted Baker is a key speaker during Clinical Audit Awareness Week 2026. Ahead of his presentation, this blog explains why structural change must come before cultural change in patient safety, and the l…
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A stylised illustration of a healthcare pathway made up of connected circular icons in blue and green. The icons include a heart monitor, stethoscope, ambulance, pills, syringe, DNA strand, test tube and medical cross, all linked by a flowing line to represent joined-up care.
News

Patient safety risks across regional care pathways

18 June 2026

HSSIB has flagged patient safety risks across regional care pathways, warning that unclear roles, limited oversight and inconsistent information sharing can limit how risks are identified and managed…
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Young person with Down syndrome smiling while talking with a healthcare professional by a window in a hospital setting.
Blog

Do you see me?

15 June 2026

The theme for Learning Disability Week (15-21 June 2026) this year is ‘Do you see me?’: Senior Safety Investigator, Matt Mansbridge, reframes the question as a patient safety challenge to the whole h…
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Person sitting on a patterned sofa at home, holding an insulin pen in both hands and checking it closely.
Blog

Patient safety and diabetes

12 June 2026

During Diabetes Week, Craig Hadley (Senior Safety Investigator) shares learning from our insulin patient safety investigations. He highlights how a system-focused approach to safety in diabetes servi…
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Blog

HSSIB at Ergonomics & Human Factors 2026 conference

4 June 2026

The Health Services Safety Investigations Body (HSSIB) was represented by three of our safety investigation team at Ergonomics & Human Factors 2026, the annual conference of the Chartered Institu…
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Healthcare staff prepare and check medicines on a hospital ward using a drugs trolley, following a digital written record beside a patient’s bed.
News

NHS hospitals shouldering digital prescribing safety risks

28 May 2026

Our new report warns that NHS trusts are managing complex digital safety risks related to ePMA, with significant unwarranted variation in how this software is designed, procured and regulated across …
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News

Roundtable explores bias and discrimination in NHS patient safety investigations

20 May 2026

We've released a new briefing, in partnership with the NHS Race and Health Observatory (NHSRHO), to raise awareness and encourage positive change around bias and discrimination in patient safety…
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Person sitting on a patterned sofa at home, holding an insulin pen in both hands and checking it closely.
News

Life-threatening gaps in community support for people with disabilities managing insulin

19 May 2026

Our new report warns that people with diabetes and a disability may be left without the support they need to safely administer insulin at home – creating life-threatening risks.
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A female healthcare professional with a stethoscope around her neck holds the hand of an older man laying in a hospital bed.
Blog

Safety and quality in healthcare: why the distinction is important

14 May 2026

In this blog, Ted Baker discusses a new paper by HSSIB colleagues and highlights the call for a fundamental rethink of how the NHS views and prioritises patient safety.
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News

What the King’s Speech means for HSSIB

13 May 2026

The King’s Speech has today set out the Government’s legislative agenda, including plans to bring forward legislation on the future of the Health Services Safety Investigations Body (HSSIB) and the w…
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Blog

Sharing HSSIB learning on mental health and patient safety

13 May 2026

During Mental Health Awareness Week, Philippa Styles (Director of Investigations at HSSIB) shares learning from our investigations, highlighting how a system-focused approach to safety in mental heal…
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Young woman wearing a baggy long sleeve jumper meets with her doctor.
News

Modelling PSIRF investigations in community mental health services

23 April 2026

We have published a new investigation demonstrating how mental health patient safety incidents can be examined under the NHS Patient Safety Incident Response Framework (PSIRF), using a case from comm…
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News

Legal gap leaves people in mental health crisis at risk in emergency departments

9 April 2026

Our latest report says that a significant legal gap puts patients in mental health crisis who attend the emergency department at risk and creates an impossible choice for staff trying to keep them sa…
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A male wheelchair user is unable to use an internal staircase for access to the next level.
News

Wheelchair users in prisons facing harm and dignity concerns due to inaccessible environments

2 April 2026

Our investigation highlights that wheelchair users and people with mobility issues in prisons are being put at risk of physical harm, psychological distress and avoidable dignity violations due to in…
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A healthcare assistant wearing blue scrubs checks the blood sugar level of a male patient.
News

Persistent risks to safe insulin care in hospitals

26 March 2026

Patients with diabetes who rely on insulin are facing persistent and serious safety risks when admitted to hospital, according to our latest investigation report.
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A female healthcare professional talks to a female safety investigator on a busy hospital ward.
News

New blueprint for healthcare investigators could save lives

3 March 2026

A first-of-its-kind framework has mapped the exact skills and qualities healthcare safety investigators need to prevent repeated harm to patients, offering a way forward from the old-style blame and …
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News

HSSIB publishes new strategy to strengthen investigation capability in England

26 February 2026

Today we launched our new strategy ‘Building Investigation Excellence’ to help meet the demands of a changing patient safety landscape.
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A young diabetic woman holds a syringe pen to inject insulin.
News

Disconnect in specialist diabetes care for adults with mental health problems

26 February 2026

Our new report urges action to improve access to specialist diabetes care for adults who self-administer insulin and live with a mental health problem, urging that gaps between services are putting v…
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An illustration of a variety of healthcare workers dressed in different uniforms standing on a series of cogs, to demonstrate the healthcare system.
Blog

Why I worry the NHS could slip backwards on patient safety

11 February 2026

Ted Baker, Chair of HSSIB, blogs about his concern that the NHS risks slipping backwards on patient safety and why this matters now.
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News

Our response to the NMC Spotlight report

5 February 2026

The Nursing and Midwifery Council (NMC) have published a Spotlight report informed by the first ever annual survey of professionals on their register, and data on where those on their register work …
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Blog

Making cancer care safer: what we’ve learnt from our investigations

4 February 2026

At the Health Services Safety Investigations Body (HSSIB), we’ve carried out seven patient safety investigations that have touched upon care for patients with cancer, to understand why issues occur a…
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News

Response to report that focuses on global collaboration to improve patient safety

30 January 2026

The Institute of Global Health Innovation at Imperial College London and Patient Safety Watch have published their annual State of Patient Safety report.
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A male nurse kneels next to a female patient laying in a bed on a hospital corridor.
News

Better understanding of the use of temporary care environments needed to minimise risks to patients

8 January 2026

Temporary care environments, commonly referred to as ‘corridor care,’ are being used across NHS trusts and there are widespread concerns about normalising their use and the impact on patients and sta…
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Head and shoulders photo of HSSIB Chair, Ted Baker, against a royal purple background. Text reads: New Year Honours List 2026.
News

HSSIB Chair awarded CBE in New Year Honours List

30 December 2025

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 healt…
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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 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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Focus on the hand of a hospital patient laying on a bed. An IV cannula is inserted in a vein on the top of their hand.
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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