We undertook rapid Covid-19 focused investigations, providing key safety recommendations to improve patient safety and support the wider effort to tackle the pandemic. We have also established an education, learning and standards team. They will be instrumental in delivering high-quality safety investigation training to the NHS.
We continue to engage with and work closely with patients, families, staff and key national stakeholders and over the last year we have ensured that equality, diversity and inclusion is at the heart of what we do. Examples of this include the creation of Design and Delivery Group of lay members to develop HSIB’s first Citizen’s Panel, chaired by Patrick Vernon OBE. Internally, we have welcomed 22 staff to a new Equality and Diversity and Inclusion Champions Team.
Chief Investigator, Keith Conradi says “ Alongside so many organisations, this has been a difficult year for HSIB. I consider the organisation to have shown extraordinary agility in adapting its operations and am extremely proud of the response from all my colleagues and the sector as a whole to delivering high-quality safety investigations, safety recommendations and their responses.”
The Annual Review 2020/21 also shares the reflections of our advisory panel, along with details of our two investigation programmes and how we’ve met our strategic goals.
Our year in numbers (2020/21)
- 140 patient safety referrals requesting a national investigation
- 22 national investigation reports completed
- 39 national patient safety recommendations issued to 18 different organisations to implement learning outcomes
- 13 COVID-19 focused national investigations launched to share learning swiftly
- 20 national reports commenced that span both national and maternity learning
- 1,024 maternity investigation reports completed
- 1,500 maternity safety recommendations to maternity units across England
- 89% of families engaging with our national investigations
- 86% of families engaging with our maternity investigations
- Investment in family information available in over 19 languages to ensure greater inclusivity.
- Translated 57 safety and learning reports for families
- 700 delegates at our first online Patient Safety Conference marking World Patient Safety Day 2020.
- 15 signed Memoranda of Agreement published for clarity around working arrangements that improve patient safety.