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Although funded by the Department of Health & Social Care and hosted by NHS Improvement, we operate independently. We're also independent from regulatory bodies like the Care Quality Commission (CQC). By offering a new perspective and developing meaningful and influential recommendations we aim to drive positive change at a wider level.

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Design and safe use of portable oxygen systems

HSIB have released the full report into this investigation. 

View and download the report

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Featured news
20 Dec

HSIB release interim bulletin relating to the management of chronic health conditions in prisons

  • Written by: Communications team

The investigation focuses on the case of a 43-year-old male, with a history of epilepsy since childhood.


Any person, group or organisation can share cases for potential investigation via the safety awareness form. Each submission is reviewed against our criteria, and an important part of assessment is whether we can learn something new that improves practice across the health system. We use a range of approaches focusing on establishing cause and identifying risk.

Our current investigations

Request an investigation with HSIB

Link to the page with our Safety awareness form