Safety recommendation
HSIB recommends that Health Education England works with appropriate professional bodies to develop and implement a strategy for supporting the education and training of clinical practitioners that can facilitate the development of decision-making skills. This strategy should consider the use of innovative approaches such as simulation and immersive learning.
Response:
Health Education England (HEE) were engaged in the development of this recommendation during the course of the investigation. Subsequently, HEE responded to this safety recommendation to suggest that the action requested was not within HEE's statutory remit or mandated responsibilities. As a result, HSIB has corresponded with HEE, NHS England, the General Medical Council, and the Academy of Medical Royal Colleges to seek a recipient for the recommendation who can take ownership of this action. No agency has been able to confirm that they have the remit or responsibility to act on this recommendation. As a result, HSIB has raised this issue to the Department of Health and Social Care to identify this potential ‘gap’ in the system.
Response published on 9 May 2023.