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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 doctor wearing a stethoscope around their neck holds an iPad.
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Blog

PSIRF and the HSIB: supporting how the NHS responds to patient safety incidents

9 November 2022

In this blog Melanie Ottewill explains how our work is supporting the NHS to adopt a systems approach to local safety investigations through the Patient Safety Incident Response Framework (PSIRF).
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Illustration of a man holding a giant pencil in front of an oversized calendar and alarm clock. He points at a gold star circled on the calendar.
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Blog

100 days at HSIB

9 November 2022

Dr Rosie Benneyworth reflects on her first 100 days leading HSIB as interim Chief Investigator.
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Medication stored in a weekly pill box.
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Blog

How patients’ voices can improve safety in the health service in relation to medicines and medical devices

8 November 2022

Following her seminar with HSIB staff last month, this guest blog post from Henrietta Hughes introduces her vision for her new role as Patient Safety Commissioner.
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Blog

Reviewing our new powers and how they will impact you

11 October 2022

The Health and Care Act 2022 will establish HSIB as the Health Services Safety Investigations Body (HSSIB) in April 2023 - a fully independent arm’s-length body. In addition to our statutory independ…
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A doctor with a stethoscope around her neck talks to a patient.
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Blog

PSIRF: a fundamental shift in how the NHS responds to patient safety incidents

27 September 2022

As part of our investigation education seminar series for our staff, NHS England’s Tracey Herlihey, Head of Patient Safety Incident Response Policy and Lauren Mosley, Head of Patient Safety Implement…
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Blurry hospital ward
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Blog

Looking beyond the recommendation: building a holistic approach to safety improvement

8 September 2022

As part of our investigation education seminar series for our staff, healthcare improvement expert Professor Mary Dixon-Woods joined us for our August session. In this blog, Ian Lavery rounds-up her …
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A young couple sit together looking concerned, holding their baby.
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Blog

How we’ve worked with NHS England and Learn Together to help give families a voice

26 August 2022

Coinciding with the publication of the Patient Safety Incident Response Framework (PSIRF) by NHS England, Louise Pye, Head of Family Engagement at HSIB, reflects on her involvement in producing the s…
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Family comforting each other.
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Blog

Integrating restorative justice into patient safety investigation

29 July 2022

As part of our investigation education lectures for HSIB staff, this month we welcomed Jo Wailling, Senior Research Fellow at Te Herenga Waka - Victoria University of Wellington, New Zealand.
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A Norwegian ambulance drives with it's blue lights flashing along a road in Oslo.
HSIB legacy content
Blog

Knowledge exchange with Norway

28 June 2022

In 2017 HSIB was the first organisation in the world set up to improve patient safety through independent investigations without blame.Now we’re not alone though, as Norway were hot on our heels with…
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An older man lies on a bed with his worried wife sitting with him, holding his hand.
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Blog

Zero avoidable deaths – an aspiration, not a target

8 June 2022

Melanie Ottewill, Senior Safety Investigator and Senior Investigation Science Educator, shares her thoughts on our internal seminar where our guest speaker was Jeremy Hunt MP.
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Two surgeons in an operating theatre
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Blog

The challenges associated with joint surgical care of patients

28 January 2022

Nick Woodier, Senior Safety Investigator, reflects on the challenges associated with joint surgical care of patients and shares learning that can aid the NHS and the private sector as new national ag…
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Button batteries.
HSIB legacy content
Blog

Reflecting on our button battery investigation

16 December 2021

As Christmas approaches, Senior Safety Investigator Helen Jones reflects on our button battery investigation and updates on what happened after the high-profile report was published.
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