About this event
The future of healthcare investigation: focus on learning and improvement
Mark Sujan talks about the new NHS England Patient Safety Incident Response Framework (PSIRF) which puts emphasis on learning and improvement. You’ll hear about the limitations of existing approaches to learning from incidents in healthcare, which PSIRF tries to overcome. You’ll then find out about the principles of organisational learning for achieving sustainable change, based on the CIEHF guidance.
Transition: HSIB to HSSIB and MNSI
HSIB’s Deinniol Owens reveals that in April 2023, the Healthcare Safety Investigation Branch (HSIB) will transition into two new organisations: The Health Services Safety Investigation Body (HSSIB) and the Maternity and Newborn Safety Investigations (MNSI) Special Health Authority. You’ll get insight into the roles of the new organisations, and hear about the additional focus on the new powers and opportunities available to HSSIB now that it’s been confirmed in statute by the Health and Care Act 2022.
Investigation education: The transfer of knowledge
Andrew Murphy-Pittock explores one of the key objectives of HSIB, which is to transfer knowledge to those undertaking and overseeing patient safety investigations. You’ll find out how HSIB has developed a flexible, agile programme, working with colleagues at PSIRF, to help healthcare organisations on the move away from the Serious Incident Framework to a systems-focused approach to learning, involving those affected by incidents in the process. You’ll also hear about current and future plans for the education programme.
Who will this be of interest to?
This webinar should be of interest to healthcare professionals, investigators, change managers, process designers and anyone with an interest in patient safety.
About the presenters
Steve Tipper (Chair) is a Chartered Ergonomist and Human Factors Specialist working at University Hospitals Coventry & Warwickshire NHS Trust. He has over 25 years’ experience in the NHS, having previously worked in Operating Theatres, Resuscitation and Simulation. As part of his current role he undertakes safety investigations as well as training other staff in investigation skills, both within the Trust and externally.
Dr Mark Sujan is a Chartered Ergonomist and Human Factors Specialist. He’s been working in patient safety and other safety-critical industries for over 20 years. Mark is a visiting academic at the University of Oxford and Honorary Associate Professor at the University of Warwick. He’s a Trustee of the CIEHF and chairs the Institute’s special interest group on Digital Health & AI. Mark is a Fellow of the Safety & Reliability Society, a Fellow of the Higher Education Academy and founding member of the Resilient Health Care Society. Mark is co-author of ‘Building Safer Healthcare Systems’, which forms the basis for the national patient safety syllabus adopted by NHS England. He’s also one of the co-developers of the CIEHF Healthcare Human Factors Learning Pathway offering accredited human factors training to healthcare professionals. Mark is a deputy editor of BMJ Health & Care Informatics, and he’s a member of the editorial board of Reliability Engineering & System Safety, Health Informatics Journal, and Human Factors in Healthcare.
Deinniol Owens is Acting Associate Director of National Investigations. He studied law and qualified as a solicitor in 2008. He went on to work with the Parliamentary Health Service Ombudsman investigating complaints about NHS care and treatment and completed a Professional Certificate in Ombudsman and Complaint Handling Practice. He subsequently worked as a Patient Experience Manager at Sheffield Teaching Hospitals NHS Foundation Trust and completed the NHS leadership academy award in healthcare leadership. He joined the Care Quality Commission as an inspector, and then inspection manager, in its acute hospitals directorate. Deinniol obtained the NHS Leadership Academy award in senior healthcare leadership and an MSc in Healthcare Leadership. He joined HSIB in January 2018 and developed his interest in human factors, completing an MSc in Patient Safety and Clinical Human Factors and is now a Chartered member of the CIEHF. He’s currently studying for a PhD considering how simulation is used in the training of healthcare safety investigators.
Andrew Murphy-Pittock is Head of Investigation Education. Prior to joining HSIB, Andrew was in the NHS for eight years. He held senior roles as Deputy Head of Learning and Head of Undergraduate Medical Education at a large NHS trust. His particular interests lie in quality improvement, curriculum development and simulation. Andrew holds postgraduate qualifications in healthcare leadership and professional management in higher education, and he’s nearing completion of his executive MBA studies. He’s also a registered Project Management Professional. He believes that patient safety should be at the heart of all healthcare settings and is passionate about learning for improvement by providing robust and effective education programmes, to build stronger and safer systems. Before finding his niche in NHS education, Andrew had a successful career in travel, event and strategic management.
Dr Laura Pickup originally qualified as a Chartered Physiotherapist and went on to work in the NHS. She later completed a PhD in human factors and worked in academia delivering research and consultancy to safety critical industries. In the last 10 years she’s focused on working for healthcare in trusts, medical device design and with universities to consider complex healthcare safety problems. Her work has focused on considering how systems may influence organisational performance, patient and staff safety. She has taught undergraduate and postgraduate healthcare professionals in several universities in healthcare human factors and implementation science and published academic papers in these fields. Laura is a Fellow of the CIEHF and has worked for the last two years as a national investigator at HSIB.
