Safety recommendation
It is recommended that NHS England and NHS Improvement develops and commissions programmes of work to find strong and systemic safety barriers for specific incidents where barriers are felt to be possible but are not currently available.
Response:
We are not aware of significantly stronger barriers that are felt to be possible at this point, so there is no specific work we can commission at present.
We would welcome any suggestions from HSIB, based on the evidence that has been collected in preparation for this national learning report, of potential strong and systemic barriers that could be considered further.
As I know HSIB appreciates, there are many ways in which NHS England and NHS improvement encourages and supports innovators and innovations, and supports the commissioning of research by the DHSC and NIHR.
We will act on any future developments through those routes that have potential to provide strong and systematic barriers.
We will also of course continue to support providers to consistently implement established barriers, including the elimination of air flowmeters.
Response received on 16 April 2021.