Patient Safety Learning

NHS England: Insulin pen safety engineered needle devices (SENDs) (26 January 2026) This case study on insulin pen safety engineered needle devices is one in a set of patient safety ‘how we acted on patient safety issues you recorded’ case studies from NHSE

Added to the hub, a case study from NHS England related to delivery of insulin via insulin pen safety engineered needle devices (SENDs). www.pslhub.org/learn/improv... #patientsafety

The state of endometriosis care in the UK: A roadmap for driving down diagnosis times and improving access to care (2 March 2026) New data released by Endometriosis UK has revealed that the average time to receive a diagnosis of endometriosis in the UK has now reached 9 years and 4 months

New report added to the hub - The state of endometriosis care in the UK: A roadmap for driving down diagnosis times and improving access to care. www.pslhub.org/learn/patien... #patientsafety

Priorities for artificial intelligence education: clinicians’ perspectives (5 January 2026) This study published in BMJ Digital Health & AI sought to identify clinicians' priorities for AI education

Article added to the hub this week - Priorities for artificial intelligence education: clinicians’ perspectives.

The invisible safety checkpoint: diagnostics and patient safety in NHS-contracted independent ophthalmic care This article explores diagnostics as an often unseen safety checkpoint in ophthamology

"Diagnostics is the first safety checkpoint in ophthalmic surgery."

New blog on the hub this week - The invisible safety checkpoint: diagnostics and patient safety in NHS-contracted independent ophthalmic care. www.pslhub.org/learn/improv... #patientsafety

NHS has ‘hollowed out’ community care, says government adviser The NHS has “hollowed out” community and primary care and become a “national hospital service”, according to the influential lead of a government review of social care. Baroness Louise Casey, who is…

News article on the hub today - NHS has ‘hollowed out’ community care, says government adviser (via Health Service Journal).

Scottish Government: Polypharmacy guidance. Appropriate prescribing, making medicines safe, effective and sustainable 2026 - 2029 Updated polypharmacy prescribing guidance for Scotland

Guidance added to the hub - Scottish Government: Polypharmacy guidance. Appropriate prescribing, making medicines safe, effective and sustainable 2026 - 2029.

How a catheter removal project improved care for patients while saving money and carbon emissions How a ‘Trial without catheter using a structured approach' improved care for patients whilst saving money and carbon emissions

💬Monthly figures were collected before and after the project and showed clear improvements💬

How a catheter removal project improved care for patients while saving money and carbon emissions - a new blog on the hub this week.

Partha Kar: Expanding roles of healthcare staff—where are the safety checks? (BMJ, 3 March 2026) An opinion piece from Partha Kar on the Leng review and physician associates.

Article added to the hub this week - Partha Kar: Expanding roles of healthcare staff—where are the safety checks? www.pslhub.org/learn/improv... (via @bmj.com)

Compassion is medicine: a patient safety perspective In this blog, Risa Mallory draws on personal experience, her advocacy knowledge, and research to explain why compassion is critical to patient safety.

In a new blog on the hub this week, Risa Mallory says "Compassion isn’t a soft skill or an optional extra. It’s medicine in its own right." www.pslhub.org/learn/patien... #patientsafety

Learning from PPI in action: a collection of webinars (NIHR) Learning from PPI in action: a collection of webinars is a new e-book providing an in-depth look at successful patient and public involvement (PPI) within health and social care research.

Resource added to the hub from @nihr.bsky.social - Learning from patient and public involvement in action: a collection of webinars.

Are NHS maternity investigations properly considering harm linked to racism, discrimination and deprivation?

We have taken a look at three inquiries: Morecambe Bay, Shrewsbury & Telford (the Ockenden Review) and East Kent to assess their approaches.

🔗ℹ️Learn more: nhsrho.org/resources/re... #NHS

I have written directly to Number 10 seeking a timetable for action and urging that financial redress is delivered without further delay for the thousands of patients harmed by pelvic mesh and valproate. Read the full letter: www.patientsafetycommissioner.org.uk/patient-safe...

On a white rectangle green text at the centre says: "History provides stark reminders of what happens when patient voice is not listened to". In the bottom right hand corner is a small green logo that says: Patient Safety Learning.

Claire Cox reflects on the changing landscape of health and care in the NHS and the impact this is having on patients' and families' voices being heard and acted upon: www.pslhub.org/learn/patien...

How a catheter removal project improved care for patients while saving money and carbon emissions How a ‘Trial without catheter using a structured approach' improved care for patients whilst saving money and carbon emissions

New blog on the hub today - How a catheter removal project improved care for patients while saving money and carbon emissions.

The UK scandal of women handcuffed while in labour: ‘I was so shocked when the restraints weren’t removed’ Joanna was a model prisoner who followed the rules. She had been convicted for a non-violent drugs offence and was not deemed to be at high risk of escape, particularly not in the throes of an…

The UK scandal of women handcuffed while in labour: ‘I was so shocked when the restraints weren’t removed’ - an article via @theguardian.com added to the hub today.

The invisible safety checkpoint: diagnostics and patient safety in NHS-contracted independent ophthalmic care This article explores diagnostics as an often unseen safety checkpoint in ophthamology

💬Diagnostics is the first safety checkpoint in ophthalmic surgery.💬

The invisible safety checkpoint: diagnostics and patient safety in NHS-contracted independent ophthalmic care. www.pslhub.org/learn/improv... #patientsafety

Patient involvement & partnership for patient safety This conference focuses on patient involvement and partnership for patient safety including implementing the New National Framework for involving patients in patient safety, and the role of the…

Upcoming event featured on the hub today:

▶️ Patient involvement & partnership for patient safety
💻 Online Conference
📆 Friday 17 April 2026

More details on the hub below⬇️

How a catheter removal project improved care for patients while saving money and carbon emissions How a ‘Trial without catheter using a structured approach' improved care for patients whilst saving money and carbon emissions

Featured on the hub today, topic leader Angela Hayes shares the experience of a trial without catheter using a structured approach project at Lewisham and Greenwich NHS Trust.

Patient Safety Commissioner calls for urgent compensation for pelvic mesh and valproate patients: A letter to the Prime Minister (3 March 2026) Letter to PM calling for compensation for pelvic mesh and valproate patients

Added to the hub today - @pscommissioner.bsky.social calls for urgent compensation for pelvic mesh and valproate patients: A letter to the Prime Minister.

Boy, 9, died 'in agony' after being operated on by suspended surgeon A nine-year-old boy suffered "fatal physical harm" after he was operated on by a suspended surgeon at Addenbrooke's hospital. Jack Moate died two months after Kuldeep Stohr performed surgery on him…

News article on the hub today - Boy, 9, died 'in agony' after being operated on by suspended surgeon (via Sky News).

Medical devices regulations: targeted consultation on the indefinite recognition of CE marked devices (MHRA, 16 February 2026) The Medicines and Healthcare products Regulatory Agency (MHRA) is inviting members of the public to provide their views on proposals for the approach to recognising CE marked medical devices in Great…

The Medicines and Healthcare products Regulatory Agency (MHRA) is inviting members of the public to provide their views on proposals for the approach to recognising CE marked medical devices in Great Britain. More details below⬇️
www.pslhub.org/learn/improv...

How a catheter removal project improved care for patients while saving money and carbon emissions How a ‘Trial without catheter using a structured approach' improved care for patients whilst saving money and carbon emissions

🆕How a catheter removal project improved care for patients while saving money and carbon emissions - a new blog featured on the hub today. www.pslhub.org/learn/commis... @sushealthcare.bsky.social

The invisible safety checkpoint: diagnostics and patient safety in NHS-contracted independent ophthalmic care This article explores diagnostics as an often unseen safety checkpoint in ophthamology

💬When expectation outpaces preparation, risk increases. When preparation is prioritised, safety improves.💬

The invisible safety checkpoint: diagnostics and patient safety in NHS-contracted independent ophthalmic care.

More work, no funding - paediatrics under pressure Ten-week-old Carson was struggling to breathe. He was born premature, at the Royal Hampshire County Hospital in Winchester, he was tiny. It was suspected that he had picked up an infection which his…

More work, no funding - paediatrics under pressure - an article via BBC News added to the hub today.

Compassion is medicine: a patient safety perspective In this blog, Risa Mallory draws on personal experience, her advocacy knowledge, and research to explain why compassion is critical to patient safety.

Compassion is medicine: a patient safety perspective - a new blog by Risa Mallory on the hub this week. www.pslhub.org/learn/patien... #patientsafety

Embedding Martha's Rule into practice—Lessons from the national pilot This blog outlines Royal Manchester Children's Hospital's (RMCH) efforts over the past year to integrate Martha’s Rule into everyday clinical practice

You can read more about the implementation of Martha's Rule in the blog below. This shares the experience of The Royal Manchester Children's Hospital integrating Martha's Rule into everyday clinical practice. www.pslhub.org/learn/improv...

Martha’s Rule: core standards (NHSE, 2 March 2026) By setting out 6 core standards, this guidance describes what NHS providers should have in place for the safe, effective and reliable implementation of Martha’s Rule.

New on the hub this week, six core standards describing what NHS providers should have in place for the safe, effective and reliable implementation of Martha’s Rule. www.pslhub.org/learn/profes... #patientsafety

The invisible safety checkpoint: diagnostics and patient safety in NHS-contracted independent ophthalmic care This article explores diagnostics as an often unseen safety checkpoint in ophthamology

💬When diagnostic governance is strong, risk is mitigated early in the pathway. When it is inconsistent, vulnerabilities may remain undetected.💬

A new blog on diagnostics and patient safety in NHS-contracted independent ophthalmic care featured on the hub today.

Menopause and mental health: Implications for clinical practice, services and policy (RCPYSCH, March 2026) This Royal College of Psychiatrists position statement examines how menopause affects mental health and its implications for clinical practice, services, and policy across the UK.

Menopause and mental health: Implications for clinical practice, services and policy - a position statement from @rcpsych.bsky.social added to the hub this week.

Patient safety: MPs urge Streeting to stop “forced merger” of agencies MPs have written to health secretary Wes Streeting asking him to stop a “forced merger” between two patient safety bodies. The all party parliamentary group (APPG) on patient safety says that the…

News article on the hub today - MPs urge Streeting to stop “forced merger” of agencies (via @bmj.com). www.pslhub.org/blogs/entry/... #patientsafety