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Although funded by the Department of Health and hosted by NHSI, 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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Investigation into the incorrect insertion of an intraocular lens

HSIB have released the full report into this investigation . 

View and download the report

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Featured news
15 Nov

HSIB places emphasis on effective system design and standardisation of practice to tackle common never event

  • Written by: Communications Team

The Healthcare Safety Investigation Branch (HSIB) has today published its latest report,highlighting why current measures aren’t effective in preventing the insertion of an incorrect intraocular lens (IOLs) and setting out three recommendations aimed at national improvement.


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

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Link to the page with our Safety awareness form