What is the Healthcare Safety Investigation Branch?

Our investigations look at factors that have harmed or may harm NHS patients. We work closely with patients, families and healthcare staff affected by patient safety incidents, and we never attribute blame or liability.

Our investigations are delivered through two programmes: national and maternity. There are differences in how they are carried out and how reports are published but the aims are the same: to share learning and to make safety recommendations that improve safety at a national level.

Find out how we improve patient safety

Shortage of learning disability nurses

Blue capsules spill out of a foil packet.

Our latest report highlights a shortage of learning disability nurses. The number joining the profession each year is matched by those leaving. We look at how this could impact on the care of patients in learning disability secure units, with two safety recommendations for NHS England and NHS Improvement.

Read the report
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Healthcare Safety Investigations Conference 2022

Our annual conference returns for its third year. It's free to attend and takes place online on 21 September 2022, 10am-4pm. Our conference is for all healthcare staff and in particular those interested in patient safety and who conduct investigations.

Register for your free conference place

Our mission is to improve patient safety through professional safety investigations that do not apportion blame or liability.

We carry out up to 30 national investigations each year and make safety recommendations to improve the healthcare system in England.

Find out more
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National investigations

We investigate patient safety concerns in NHS funded care in England, issuing safety recommendations to improve patient safety.

More about national investigations
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Can we investigate your concern?

Find out how we decide to take an investigation forward and when we're unable to investigate your concern.

Find out if we can investigate
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Maternity investigations

Our maternity investigation programme is part of a national action plan to make maternity care safer, bringing about real, system-wide change.

More about maternity investigations
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Latest updates

Knowledge exchange with Norway

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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Report shows retention of learning disability nurses is vital for consistency of medication care

Our latest report highlights a shortage of learning disability nurses. The number joining the profession each year is matched by those leaving. We look at how this could impact on the care of patient…
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Interim report calls for immediate action to reduce harm to patients from handover delays

Delays in handing over care from ambulance crews to emergency departments is causing life-threatening harm to patients.
Read the full article