The 2023 Congress Programme will be announced shortly 

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2022 Programme 

Day 1 – Monday 24 October

8:00

Registration opens

8:45

All delegates head to Exchange Hall

8:50 Opening remarks and reflections on World Patient Safety Day (video)

Professor Chris Whitty, Chief Medical Officer for England and UK Representative on the Executive Board of the World Health Organisation
 
 

Chair’s welcome

  • Set the scene for the Congress with an up-to-date overview of patient safety
     
  • Understand the major shifts in patient safety over the last year and what steps need to be taken to make further progress
     
  • Learn how you can make the most of the next two days to improve patient outcomes within your own organisation

Shaun Lintern, Chair, Patient Safety Congress and Health Editor, The Sunday Times 

9:00

NATIONAL UPDATE  

Opening keynote address 

A national update on the NHS Patient Safety Strategy: Where are we now? 

With Patient Safety Specialists and the first Patient Safety Commissioner for England now appointed, as well as new frameworks being rolled out, there is renewed impetus to put national priorities into practice at local level. Join Dr Aidan Fowler as he revisits the strategic aims of the NHS Patient Safety Strategy three years after its launch and get an update on where significant progress has been made, what areas require more momentum and how national priorities have shifted to get safety back on track.

Dr Aidan Fowler, National Director of Patient Safety, NHS England & NHS Improvement and Deputy Chief Medical Officer at the Department of Health and Social Care 

9:20

Keynote panel
Why aren’t we learning from past mistakes? Breaking the cycle of repeat errors to advance the safety agenda

  • Identify long-standing barriers to change and discuss the underlying factors in healthcare that make it hard to implement key learnings and make real progress
     
  • Debate the effectiveness of national reports and enquiries
     
  • Re-thinking approaches to safety issues amidst increased system pressures – how can this be effectively tackled in a staffing crisis?
     
  • Focusing on really understanding the problem before coming up with solutions to ensure long-term sustainability and safety 
     
  • Discuss practical ways you can break down barriers to improvement in your organisation

Professor Mary Dixon-Woods, Director and Professor of Healthcare Improvement Studies, THIS Institute and University of Cambridge

Professor Ted Baker, Former Chief Inspector of Hospitals, CQC

Tom Bell, Organisational Culture and Ethics Consultant, Trainer, Author, Speaker, former NHS Manager, and Whistleblower

Professor Sir Robert Francis QC, Chair, Healthwatch England

10:05

Keynote panel
Putting an end to gender bias in healthcare: Re-setting the dial on women’s health and safety 

  •  Hear from a female patient about their experiences with sodium valproate and the challenges faced as a woman navigating the health system
  • Consider the recurring theme from personal testimonials and healthcare scandals in recent years, that women’s voices and patient safety concerns are being ignored or dismissed 
  • Address the lack of transparency around the risks of medicines and medical devices
  • The need to discuss both benefits and risks of investigations and medication
  • Ending the culture of doctor knows best - Is there a clash of values between medical paternalism and patient autonomy? 

Emma Murphy, Founder, Independent Fetal Anti-Convulsant Trust (IN-FACT)

Janet Williams, Founder, Independent Fetal Anti-Convulsant Trust (IN-FACT)

Professor Matthew Cripps, Director of Behaviour Change, NHS England and NHS Improvement 

Professor Marian Knight, Professor of Maternal and Child Population Health, University of Oxford

10:45

Meet our Partners / Refreshment break

Explore the exhibition hall and be sure to catch up with our partners who have a variety of patient safety solutions to help you with your current challenges and priorities. Simply head over for a chat or connect with them via the event app to book a meeting 

Tea, coffee and refreshments available 

Outpatients’ department

Head over to the exhibition hall to the ‘Outpatient’s Department’ zone and catch up with speakers after sessions! This is an opportunity to meet the speakers one to one and ask your questions 

  Delegates can now break into the following 5 tracks and attend sessions which focus on hands-on learning and practical case-studies. Send your colleagues to different tracks to get the most out of the content
Room Charter 1 Exchange Auditorium Charter 3 Exchange 9 Charter 2
   

Building Restorative Organisations

Chaired by Matt Discombe, Correspondent, HSJ

In association with Radar Healthcare

Human factors

Chaired by Dr Dawn Benson, Programme Manager, Clinical Human Factors Group and Dr Lauren Morgan, Director, Morgan Human Systems Ltd

In association with BD

Patient safety in non-acute settings

Chaired by Rahul Pasumarthy, Head of Consulting, Wilmington Healthcare

Patient and family engagement

Chaired by Rachel  Power, Chief Executive, The Patients Association

Supporting our workforce

Chaired by Annabelle Collins, Senior Correspondent, HSJ

11:30

Panel
Tackling bullying and harassment: What a restorative just culture looks like in practice  

  • Hear examples of how the lack of a just culture can lead to bullying, misperceptions, and an increase in patient safety errors 
  • Understand the difficulties of dealing with bullying from a leadership perspective 
  • Find out what a restorative just culture actually means, how to implement it and what it should look like in practice
  • Share successful strategies from trusts on how to manage and prevent the disproportionate impact of bullying on minority groups 

Amanda Oates, Executive Director of Workforce, Mersey Care NHS Trust

Ranjit Kirton, Workplace Behaviour Innovator,
The Behaviour Garage

 

Panel
Modelling what good looks like: An automation approach to addressing medication error 

  • Understand human factors that influence the collaboration between humans and automation 
  • Digital evolution and resistance to change: Understanding barriers to overcome, fully embrace and implement system automation 
  • Learn how automation can support clinical practice and deliver improved medication management  
  • Proof of concept -Hear examples from trusts that have adopted connected Medication Management and how this has helped reduce errors, waste and increased efficiencies

In association with BD

James Davis,
Chief Innovation Officer, Royal Free London NHS FT 

Steve Tomlin, Director of the Children’s Medicines Centre,
Associate Chief Pharmacist – Research and Innovation,
Great Ormond Street Hospital 

Francine de Stoppelaar, Director of Pharmacy, Cleveland Clinic

Sarah Stern, Chief Pharmacist and Director of Medicines Optimisation,
North Middlesex University Hospital NHS Trust

Restart a Heart: Optimising survival rates through rapid response to out-of-hospital cardiac arrests

  • Hear directly from doctor on how he and his team help save the life of an athlete who suffered a cardiac arrest 
  • Gain insight into the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) 
  • Learn about a clinician-led quality improvement initiative around prompt CPR to improve patient outcomes 
  • Join a practical workshop on CPR training across the 2-day Congress to learn how to respond in life-threating situations 

Dr Jonathan Tobin, GP and Club Doctor, Wigan Athletic Football Club (pre-recorded)

Dr. Marisa Mason, Chief Executive, NCEPOD

Professor Andrew Lockey, President of Resuscitation Council UK 

Chaired by Dr Alison Tavaré, Clinical Lead, NHS@Home SW and Primary Care Clinical Lead, West of England Academic Health Science Network

 

 

Is anybody ‘Learning from Deaths’? – Implementing safety improvements based on a review of the national LfD Programme

  • Analysis of national statutory reporting within the NHS in England 2017-2020
  • Understanding what ‘Learning’ and ‘Actions’ have occurred
  • A review of how trusts have assessed the impact of their actions
  • Hear examples of how trusts are engaging with and involving families in their LfDs work
  • Recommendations for how the LfDs programme can be developed and implemented further and what this means for your organisation

Dr Zoe Brummell, Anaesthetic and Intensive Care Medicine Specialist, University College London Hospitals NHS FT

Dorit Braun, Patient Representative

Dr Emma Rowland, A&E Consultant, Homerton University Hospital NHS FT

 

Workshop

Tackling discrimination and inequality in healthcare

We know that inclusive workplaces are crucial for both staff wellbeing and for patient safety. So why are so many still experiencing discrimination and what can we do to change it?

In this interactive session we will:

  • Reflect on the impact of discrimination in healthcare
  • Consider how cultures aid discrimination at work
  • Explore the work the GMC is doing to tackle inequality issues
  • Identify what you can do locally to create a more inclusive culture, including resources and support available to you

In association with the GMC

Chris Lawlor, Senior Regional Liaison Advisor, Outreach Development Support Unit, General Medical Council

 

12:20

Time to move between sessions

Room Charter 1 Exchange Auditorium Charter 3 Exchange 9 Charter 2
  Building Restorative Organisations Human Factors Patient safety in non-acute settings Patient and family engagement Supporting our workforce
12:25
       
NATIONAL UPDATE

Driving a culture of learning from patient safety incidents: Making the switch from NRLS to LFPSE  

  • Hear about the transition from the current National Reporting and Learning System (NRLS) to Learn from Patient Safety Events (LFPSE)
  • When and why: Understand the reasons behind the change and how the new reporting system will benefit your teams and support national learning and improvement 
  • Find out how the system will work in practice to speed up incident data capture
  • Understand how to triangulate LFPSE with CQC, NICE, policy, and audit to provide local assurance and continuous improvement
  • Take away strategies you can implement to achieve quality insight and improve safety and compliance culture 

In association with InPhase

Lucie Mussett, Patient Safety Lead and Senior Product Manager LFPSE, NHS England and Improvement

Robert Hobbs,
Chief Executive Officer, InPhase

Warren Edge, Senior Associate Director of Assurance & Compliance, County Durham and Darlington NHS FT

Reducing the risk of Never Events: A deep dive into misplaced nasogastric tubes

  • Learn about a common never event involving a nasogastric tube and why it is also a national issue
  • Hear about the post-incident investigation process which resulted in no findings of care gaps or staff errors
  • The importance of being proactive and inquisitive and how this resulted in identifying previously unknown gaps
  • Learn how one trust is evaluating all PH strips on the market in order to adopt the best device and minimise error
  • How this work has resulted in new guidelines that openly acknowledge the gaps in the system with the aim of preventing incidents

Karl Emms, Lead Nurse for Patient Safety, Birmingham Women’s and Children’s NHS FT

Fiona Terry, Neonatal Matron, Joint Project Lead, Birmingham Women’s and Children’s NHS FT

Jennifer Abbott, Clinical Educator, Birmingham Women’s and Children’s NHS FT

Michelle Moseley, Senior Specialist Nurse, Birmingham Women’s and Children’s NHS FT

Improving outcomes and experiences of patients discharged from mental health hospitals

  • Find out about a research study initiated by a patient who experienced difficulties when discharged
  • Hear how this co-led study aims to improve outcomes for service users being discharged from mental health hospitals
  • Gain insight into the factors and challenges that prevent mental health hospitals from providing a seamless discharge experience for patients
  • Plans to co-produce a new toolkit for discharge using systems engineering approaches to healthcare which can be applied and adapted to the discharge process
  • Understand how this research has the potential to positively impact patient safety and patient experience

Sarah Rae, Patient Representative

Lisa Grunwald, Minds Study Manager, Norfolk and Suffolk NHS FT

Professor John Clarkson, Professor of Engineering Design, University of Cambridge and Professor of Healthcare Systems, Delft University of Technology

What does true co-production look like? The impact of patient input and involvement on quality improvement

  • Hear how the involvement of patients helped trusts to think differently about safety initiatives based on their own experience using the health service
  • Discuss and share approaches you can take to attract patient partners, and understand what training, support and conditions are required to enable meaningful co-production  
  • Hear successful examples from trusts that involved patient partners in QI projects and assess the positive impact on patient safety and staff experience
  • Key takeaways: Take back strategies to help you involve patients as partners in your work to help shape and influence improvements in your organisation

Professor Charlotte McArdle, Deputy Chief Nursing Officer – Safety & Improvement, NHS England

John Curtin, Quality Improvement Partner, Leeds Teaching Hospitals Trust (LTHT)

Dr Anna Winfield, Specialist in Geriatrics and QI, Leeds Teaching Hospitals NHS Trust Trust

Harnessing digital to join up systems and processes to facilitate real learning and improvement 

  • Discuss what good quality looks like and the challenges around ensuring organisations are getting the full picture of whether or not they are delivering good quality
  • How a siloed approach to learning from incidents and the use of multiple tools and systems makes its harder to identify trends and there for prevents learning 
  • Find out what solutions are available to help you join up different processes. Hear examples from a trust on how this has positively impacted safety outcomes in their organisation

In association with Radar Healthcare

Paul Cresswell, Associate Director of Quality Governance, North Bristol NHS Trust 

Molly Kent, Patient Safety Specialist, Radar Healthcare 

13:15

Lunch break in the Exhibition Hall

Meet our Partners
Explore the exhibition hall and be sure to catch up with our partners who have a variety of patient safety solutions to help you with your current challenges and priorities. Simply head over for a chat or connect with them via the event app to book a meeting 

Outpatients department
Head over to the exhibition hall to the ‘Outpatient’s Department’ zone and catch up with speakers after sessions! This is an opportunity to meet the speakers one to one and ask your questions 

Patient Safety Specialist Networking Lunch

Please note this lunch is invitation only and exclusively for Patient Safety Specialists.  

If you have received confirmation of your attendance for this networking lunch, please head to Exchange 1. If you haven’t registered but would like to attend, please head to the location to see if there are still seats available.

Room Charter 1 Exchange Auditorium Charter 3 Exchange 9 Charter 2
 

Building Restorative Organisations

In association with Radar Healthcare

Human Factors Patient safety in non-acute settings Patient and family engagement Supporting our workforce
14:15

Are we losing sight of what good looks like? Reversing the impact of normalised deviance on patient safety

  • Explore the systematic conditions and flaws that set up good people to fail and the long-term effect this has on patient care when behaviours do not change 
  • The importance of a top-down approach, ensuring good practice is carried out and followed through by leaders to embed a strong safety culture across the entire organisation 
  • Discuss and share actions you can implement now to help identify and manage unsafe practices and behaviours before they become normalised and pose risks to patient safety, quality care, and employee morale 

Professor Rebecca Lawton, Professor in Psychology of Healthcare, University of Leeds and Director, NIHR Yorkshire and Humber Patient Safety Translational Research Centre 

Professor Matthew Cripps, Director of Behaviour Change, NHS England and NHS Improvement 

Ranjit Kirton, Workplace Behaviour Innovator,
The Behaviour Garage

Panel
Challenges and possibilities of integrating human factors and ergonomics into healthcare

  • Hear from experts on the current barriers and opportunities of bringing human factors into the health system
  • Discuss ways you can get past system and cultural issues to operationalise human factors thinking
  • Hear different perspectives on the system from each speaker, whilst also learning from their shared thinking to help you incorporate human factors in your organisation

In association with NHS Supply Chain 

Dr Tracey Herlihey, Head of Patient Safety Incident Response Policy, NHS England and NHS Improvement

Professor Paul Bowie,  Programme Director (Safety & Improvement), NHS Education for Scotland

Colette Longstaffe,
Product Assurance Specialist-Clinical and Product Assurance (CaPA), NHS Supply Chain

Panel
Achieving true integration: Valuable lessons from mature integrated care systems outside England

  • The key challenges faced in the establishment of systems-level care through the lenses of finance, workforce and operational delivery
  • Find out how advanced levels of integration significantly enhanced patient safety, especially against the backdrop of covid-19
  • Find out what initial challenges these systems faced when starting their integration journey, as well as key elements required for ICSs to succeed
  • How to best measure and assure patient safety when designing, implementing and refining acre pathways at systems level

In association with RLDatix

Jonathan Webb, Head of Safety & Learning at NHS Wales Shared Services Partnership

Liz Jones, Chief Marketing Officer (International), RLDatix

Anders Nilsson, Business Development Manager, RLDatix 
 

Involving families well using the new PSIRF guidance: A why, how and what guide to Positive family engagement on system and patient safety

Under the new PSIRF guidance, there will be greater engagement with families following an incident. This session focusses on how to do that well, why you do it and address some possible issues around this including:

  • How to engage well with families after a patient safety incident and the impact this has on families, staff, and the investigation
  • The importance of having difficult conversations with families and how do this well
  • Why does Duty of Candour matter to families?
  • What does positive family engagement uniquely bring to investigations?
  • What does a blame-free culture look like and how does it benefit families and staff?

Rosi Reed, Training Coordinator, Making Families Count

Frank Mullane MBE, Member, Making Families Count

Jen Sunman, Member, Making Families Count

NATIONAL UPDATE

Casting a safety net between primary and secondary care: A digital approach to sustaining safety across the patient pathway

  • Hear about the challenges and safety issues patients experience as they move between primary, acute and virtual care settings
  • Assess the dynamic between secondary care leadership and primary care delivery and how this relationship can be fine-tuned to improve patient safety
  • Hear from a digitally advanced organisations and find out how they use digital to support organisational strategy, not lead it
  • Get a national update on the Digital Clinical Safety Strategy and how it will help protect patients using hybrid models of care 

 

Jyoti Mehan, Chief Executive, Health Care First Partnership

Dr Mona Johnson, Associate Director, Clinical Content & Decision Support, NHS Digital

Mel Briers, Digital Clinical Safety Nurse Specialist, Sussex Community NHS Foundation

15:05

Time to move between sessions

Room Charter 1 Exchange Auditorium Charter 3 Exchange 9 Charter 2
  Building Restorative Organisations Human Factors Patient safety in non-acute settings Patient and family engagement Supporting our workforce
15:10

Panel
Balancing no-blame with accountability: Playing your part by speaking up to create a health system that owns up to error

  • Address issues around blame and defensiveness as key contributors to the lack of safety progression over the past decades
  • Debate why defensiveness remains a core issue within the system and understand what factors are preventing a shift in culture, at both national and local level
  • Practical, initial strategies for leaders to build a psychologically safe environment, that encourages transparency and honesty amongst staff
  • Responding to error: Learn how you can create a just culture where you ensure staff are speaking up when things go wrong without blame or fear of reprisal  
  • Understand the impact this will have on patient safety through the prevention of repeat errors

John Walsh, OD Lead / Freedom To Speak Up Guardian, Leeds Community Healthcare NHS Trust

Tom Bell, Organisational Culture and Ethics Consultant, Trainer, Author, Speaker, former NHS Manager, and Whistleblower

A digital approach to reducing never events within the operating room

  • Get an understanding of the core patient safety challenges within the operating room
  • Understand the power of reviewing procedures to help reduce never events and the role technology can play to support this
  • Hear examples of how integrating technology into existing ways of working has helped support clinical expertise
  • Learn about the cost savings and financial impact on patients, staff and the system

In association with Proximie

Matthew Green, Director Strategic Partnerships and Initiatives, Proximie

Jacque Mallander, Health Economist and Director, Economics by Design

Ed Marsden, Founder, Eva

Reducing health inequalities for people with learning disabilities: Looking beyond the disability to improve safety

  • Recognise the dangers of diagnostic overshadowing for people with a learning disability and hear examples of avoidable patient harm caused as a result
  • Find out what you can do to prevent diagnostic overshadowing – hear about the RCP Acute Care toolkit for people with learning disabilities
  • Take back practical, reasonable adjustments you can make in your organisation to enhance safety for patients
  • Learn about how addressing inequalities can be embedded as a golden thread to help drive improvement”

Gavin Howcraft, Expert by experience

Moor Eric, Acute Liaison Nurse – Learning Disability Service in Hertfordshire County Council Adult Care Services

Scott Riley, South West Inclusion Health Lead, NHS England and NHS Improvement (South West) (pre-recorded)

Chaired by Dr Alison Tavaré, Clinical Lead, NHS@Home SW and Primary Care Clinical Lead, West of England Academic Health Science Network

Assessing quality of care in the home: Ensuring patients and families have the tools to safely self-manage  

  • How covid-19 has challenged perceptions around what patients can or should do – causing a major shift towards self-management at home
  • Assess the situational variables that could present risks to patients 
  • Understand the type of training and resources required for patients, families and clinicians to effectively identify and prevent potential risks in the home 
  • Hear examples of tools and training available that enhance safety in the home 

Jono Broad, Senior Manager Personalised Care, NHS England SW

Matthew Riley, Service User Representative

Identifying innovative solutions to promote quality improvement with an already-stretched workforce

  • Address the difficulties systems have in trying to drive evidence-based practice initiatives whilst coping with the service disruption and low staffing levels
  • Assess how covid-19 has led to a ‘start and stop’ approach to QI, impacting staff’s engagement with improvement programs
  • Hear best practice examples on how you can prevent staff burnout, to ensure your workforce have the capacity and energy required to engage with these programmes
  • Take back strategies on how you can prepare your teams to reposition QI and accelerate innovation to improve patient outcomes

In association with Wolters Kluwer  

Dr Emily Audet, National Medical Director’s Clinical Fellow, Internal Medicine Trainee Doctor - West Midlands

Rachel Dicker, Product Management Associate Director, Wolters Kluwer, Health, Learning, Research and Practice 

Chaired by Shaun Lintern, Chair, Patient Safety Congress and Health Editor, The Sunday Times

 

16:00

Meet our Partners / Refreshment break

Explore the exhibition hall and be sure to catch up with our partners who have a variety of patient safety solutions to help you with your current challenges and priorities. Simply head over for a chat or connect with them via the event app to book a meeting

Tea, coffee and refreshments available  

Outpatients department
Head over to the exhibition hall to the ‘Outpatient’s Department’ zone and catch up with speakers after sessions! This is an opportunity to meet the speakers one to one and ask your questions 

  Regroup with all attendees in the Exchange Auditorium for the closing keynote
16:30 

The James Reason Lecture
Planning for the unthinkable: Responding to catastrophe in a healthcare setting

  • Hear from Professor Lucy Easthope, the UK’s leading authority on disaster management and recovery
  • Get a look behind the scenes at some of Lucy’s work on major disasters, including 9/11, the 7/7 bombings, the Indian Ocean tsunami and covid-19
  • Find out how healthcare systems should plan for disasters and the aftermath, prioritising emergency planning, compassion and putting those affected at the heart of arrangements
  • Assess why and how things go wrong in disaster management and what you can do to prevent repeat errors
  • Key considerations and takeaways: Short-term and long-term actions you can implement at local level

Professor Lucy Easthope, UK Leading’s Authority on Recovering from Disaster, Professor in Practice of Risk and Hazard, University of Durham and Fellow in Mass Fatalities and Pandemics at the Centre for Death and Society, University of Bath

17:10 - 18.00

Closing remarks and end of day 1 – Please take time to provide feedback via the event app

Networking reception in the Exhibition Hall

After full day of discussions, debates, and learning, end your day through networking with colleagues, new acquaintances and partners. Get ready for the Awards celebration later in the evening!

 

Day 2 – Tuesday 25 October

8.00 Registration opens
8.40 All delegates head to Exchange Hall
8:45

Chair’s welcome and opening remarks

  • Reflect on the key learning points from yesterday’s sessions

  • Look ahead to today’s topics

  • Find out the winner of the Patient Safety Congress poster competition

Shaun Lintern, Chair, Patient Safety Congress and Health Editor, The Sunday Times 

9:00 NATIONAL UPDATE  

Opening keynote address  

The first Patient Safety Commissioner for England: Putting the needs of patients first   

Join us as we welcome England’s first Patient Safety Commissioner, Dr Henrietta Hughes, who will share key priorities in her new capacity, as well as next steps and what to expect over the next few months.

  • Find out what steps have been taken so far to promote the safety of patients in the context of the use of medicines and medical devices  
     
  • Gain insight into the areas and issues around which the healthcare system will be challenged to ensure the safety of patients and the public  
     
  • Learn how Henrietta will set an example of integrity and ethical leadership – understand how this new role will change the perception of patient safety and truly help represent the views of patients and families 

Dr Henrietta Hughes OBE, Patient Safety Commissioner

9:15

Keynote address

The interrelatedness of Patient Safety, Health Equity, and Sustainability

Join Professor Charlotte McArdle, NHS England’s Deputy Chief Nursing Officer, who will explore:

  • Why the climate crisis is a critical patient safety issue
  • How both patient safety and climate change exacerbate health inequalities
  • Embedding sustainability and health equity as core principle of patient safety, and quality improvement

Professor Charlotte McArdle, Deputy Chief Nursing Officer – Safety & Improvement, NHS England

9:30

NATIONAL UPDATE

Patient Safety Incident Response Framework: What good looks like when learning and responding to patient safety incidents

  • Learn about the new Patient Safety Incident Response Framework (PSIRF)
  • Understand the importance of overseeing system structures and processes to drive the right behaviours
  • Hear from early adopters of PSIRF on how best to prepare for and implement PSIRF in your organisation

Dr Lauren Morgan, Director, Morgan Human Systems Ltd

Donna Forsyth, Director, Patient Safety Science not for profit Ltd

Tracey Herlihey, Head of Patient Safety Incident Response Policy, NHS England and NHS Improvement

Rosi Reed, Training Coordinator, Making Families Count

10:20 Delegates can now break into the following 5 tracks and attend sessions which focus on hands-on learning and practical case-studies. Send your colleagues to different tracks to get the most out of the content
Room
Exchange Hall Charter 3 Charter 1 Charter 2

Governance and regulation

Chaired by Rosi Reed, Training Coordinator, Making Families Count

Clinician-led innovation

Chaired by Rachel 
Power, 
Chief Executive, The 
Patients Association

The deteriorating 
patient

Chaired by Lesley 
Durham,
President, International Society for Rapid Response Systems(iSRRS)

 

Women’s healthcare

Chaired by Annabelle Collins, Senior Correspondent, HSJ

10:30

Implementing Scan4Safety to reduce the risk of Never Events

  • The role of the HSIB in investigating patient safety incidents across the NHS in England
  • Using digital to get at the forefront of patient and product management
  • Find out how the adoption of GS1 standards is improving efficiencies and preventing unnecessary patient harm across the NHS
  • Learn about a pioneering digital project, Scan4Safety, which uses barcode technology to improve traceability
  • Tangible steps to help you get started on your own GS1 standards adoption journey and engage with those leading the charge for Scan4Safety implementation

In association with GS1 UK

Steve Bush, Medical Director Operations, Leeds Teaching Hospitals Trust

Dr Sean Weaver, Deputy Medical Director, Healthcare Safety Investigation Branch (HSIB)

 

Unleashing local innovation: Transforming emergency care delivery through collaboration between services

  • Address the issues around managing ambulance delays and patient access to emergency care, resulting in harm or death
  • Learn about the award-winning Remote Emergency Access Co-ordination Hub (REACH) and its innovative approach to delivering emergency care using virtual consulting rooms
  • Hear from a patient representative on their previous care experience versus their experience using REACH
  • Look at what the data shows and the impact the new model has had on patient experience and safety by reducing the number of ambulances conveyed to hospitals and patient walk-ins
  • Learn how this work is being rolled at scale and pace and share strategies of how you can implement similar solutions

Joanna Moore, Senior Improvement Advisor, Barts Health NHS Trust

Tony Joy, Lead Consultant for REACH and the Physician Response Unit, Barts Health NHS Trust (virtual)

Tiffany Wishart, Senior Sector Clinical Lead, London Ambulance Service

 

Listening to families’ Call 4 Concern to prevent patient deterioration and avoidable deaths   

  • Taking family concerns more seriously as those who know the patient best
  • Learn how the Call 4 Concern initiative provides patients and families with more choice about who to consult about their care and facilitates the early recognition of patient deterioration

Lisa Cornell, Senior Critical Care Outreach Practitioner, Kettering General Hospital NHS FT

Kirsty Datson , Senior Critical Care Outreach Practitioner, Kettering General Hospital NHS FT

Dr Chris Subbe, Consultant Physician working in Acute Medicine, Betsi Cadwaladr University Health Board

Tackling Gaps in Patient Safety in Maternity: Embedding a Learning Culture

  • Gain insight into the findings from the Baby Lifeline ‘Mind the Gap’ report
  • Are we training the frontline in themes that relate to avoidable harm?
  • Hear how NHS Resolution is working to overcome barriers to a learning culture
  • Explore the barriers and opportunities to improve maternity safety with staff on the frontline

In association with NHS Resolution

Sara Ledger, Training Development and Research Executive, Baby Lifeline

Dr Alex Crowe, Deputy Director of Safety and Learning, NHS Resolution

 

11:20

Meet our Partners / Refreshment break

Explore the exhibition hall and be sure to catch up with our partners who have a variety of patient safety solutions to help you with your current challenges and priorities. Simply head over for a chat or connect with them via the event app to book a meeting 

Tea, coffee and refreshments available 

Outpatients’ department

Head over to the exhibition hall to the ‘Outpatient’s Depart

 

ment’ zone and catch up with speakers after sessions! This is an opportunity to meet the speakers one to one and ask your questions

12:00
Exchange Hall Charter 3 Charter 1 Charter 2

Governance and 
regulation

Clinician-led 
innovation

The deteriorating 
patient

Women’s healthcare

Looking behind the brave face: Getting in tune with your staff to achieve peak performance and embed psychological safety

  • Address mental health and impact on staff from a neuro-scientific perspective
  • Deep dive into the different levels of brave face syndrome or presenteeism and identify behaviours you will see and how this impact staff’s ability to perform and do their job safely
  • Looking at ‘why’ not ‘who’ during investigations and identifying the real underlying cause when things go wrong. Are staff capable of providing safe care in the brain state and environment they’re in?
  • Gain practical ideas from trusts that have approached mental health like a risk assessment and the impact it’s had on teams so far
  • Take back strategies you can embed in your organisation to ensure staff are working in a positive brain state

Stuart Paviour, Wellbeing Consultant & Business Psychologist

Panel
The creation of the Patient Safety Managers Network: Set up by staff, for staff to help spread safety innovation

  • Learn about the fast-growing Patient Safety Managers Network, set up by staff, and the motivation behind it
  • Understand how members of the network are working to break down barriers to improvement by sharing best practice between trusts
  • Discuss the impact of communicating with peers in similar roles regarding patient safety challenges and innovation
  • Find out what the network has achieved so far and how it supports the implementation of best practice across 82 different trusts
  • Assess the impact of the network on patient safety so far and future plans to continue sharing learning

Claire Cox, Patient Safety Lead, King’s College Hospital NHS FT

Jordan Nicholls, Serious Incident, Governance and Quality Improvement Lead, Central and North West London NHS FT

Jayne Addison, Deputy Head of Quality Governance, Patient Safety and Risk, Manchester University NHS FT 

Chaired by Helen Hughes, Chief Executive, Patient Safety Learning

Bridging the gap between mental and physical health deterioration in acute hospital settings

  • Assess why co-existing mental health problems of patients admitted to acute hospitals with a physical ailment are often overlooked
  • Learn what psychiatric interventions are required to assess and manage patients as well as multidisciplinary discharge planning 
  • How you can fully integrate Liaison Psychiatry into your organisation and the impact this will have the patient safety 
  • Get an update on national approaches towards record sharing, and better staff training to recognise mental health issues  

Matthew Riley, Service User Representative

Dr Sarah Brown, Consultant Liaison Psychiatrist, Honorary Associate Medical Director for Mental Health, NUTH and Group Medical Director for Northumberland & N Tyneside, CNTW,
Newcastle Psychiatric Liaison Team

NATIONAL UPDATE

The first Women’s Health Strategy: Redesigning the system to prioritise care on clinical need, not gender

  • Learn about the government-led Women’s Health Strategy in England as part of plans to level up health care
  • Get an update on key issues raised in response to a call for evidence to inform the government’s approach to tackling gender health inequality
  • Find out how these insights will inform the upcoming Women’s Health Strategy to create a healthcare system that prioritises care on the basis of clinical need, not gender

Emma Murphy, Founder, Independent Fetal Anti-Convulsant Trust (IN-FACT)

Janet Williams, Founder, Independent Fetal Anti-Convulsant Trust (IN-FACT)

Professor Charlotte McArdle, Deputy Chief Nursing Officer – Safety & Improvement, NHS England

Professor Matthew Cripps, Director of Behaviour Change, NHS England and NHS Improvement

 

12:50

Lunch break in exhibition Hall

Meet our Partners  
Explore the exhibition hall and be sure to catch up with our partners who have a variety of patient safety solutions to help you with your current challenges and priorities. Simply head over for a chat or connect with them via the event app to book a meeting

Outpatients’ Department

Head over to the exhibition hall to the ‘Outpatient’s Department’ zone and catch up with speakers after sessions! This is an opportunity to meet the speakers one to one and ask your questions

14:00
Exchange Hall Charter 3 Charter 1  

Governance and 
regulation

Clinician-led 
innovation

The deteriorating 
patient

Women’s healthcare

NATIONAL UPDATE

Minimising the risks of extravasation: A national update on new guidelines

  • Understand the volume of claims submitted relating to extravasation injury and the cost this has on patients and the system 
  • Hear from a trust that has implemented innovate ways to reduce the risk of extravasation injury
  • Get an update on national guidance and recommendations 

Dr Alex Crowe, Deputy Director of Safety and Learning, NHS Resolution

Andrew Barton, Nurse Consultant, Vascular Access & IV Therapy, Frimley Health NHS FT and Chair, National Infusion and Vascular Access Society (NIVAS)

Chaired by Helen Hughes, Chief Executive, Patient Safety Learning

Panel
Taking the next step in your improvement journey: Learning from organisations that ‘require improvement’  

  • Hear from trusts in different stages of their quality improvement journey and find out which areas they are prioritising to raise quality standards  
  • Hear examples of inspirational projects from trusts that helped bridge the gap from ‘requires improvement’ to ‘good’   
  • Take back practical and relatable advice to help you in your own improvement journey

Dr Ruth O’Dowd, Consultant Anaesthetist and Associate Medical Director Patient Safety and Quality Improvement, North Cumbria Integrated Care NHS FT 

Chaired by Dr Lauren Morgan, Director, Morgan Human Systems Ltd

Equipping staff with the skills to detect the seriously ill and deteriorating woman

  • Get a clinical perspective and observations on the challenges around detecting deteriorating women, including maternal collapse and the need to shift to a pre-emptive approach to looking after patients  
  • Get an update on the national Maternity Early Warning Score (MEWS) tool, including rationale, progress so far and challenges to overcome
  • Find out about the initial impact of this tool practice, and how it will help to manage escalation and intervention, improving women’s safety outcomes
  • Share and take away maternity enhanced care competencies which provide you with skills to effectively assess and manage pregnant and postnatal women

Tony Kelly, National Clinical Advisor for National Maternity and Neonatal Safety Improvement Programme, NHS England and NHS Improvement

Tackling racial disparities in women’s health

  • Get a thorough understanding of the health disparities faced by Black, Asian, and minority ethnic women, including receiving poor quality of care and health outcomes, with higher rates of morbidity and mortality
  • Explore what is being done on the ground to narrow the inequalities gap and improve diagnosis, early interventions, and treatment for women
  • Creating environments where voices can be heard and make a difference when tackling racial health inequalities

Dr Karen Joash,
Consultant in Obstetrics and Gynaecology, Imperial College Healthcare NHS Trust and Head of School for Obstetrics and Gynaecology, Health Education England (virtual)

Cecily Henry, Patient and Public Involvement Lead, Loughborough University

Chaired by Nick Kituno, Correspondent, HSJ

14:45

Time to move between sessions

14:50
Exchange Hall Charter 3 Charter 1  

Governance and 
regulation

Clinician-led 
innovation

The deteriorating 
patient

 

NATIONAL UPDATE

Safety Investigations Through Different Lenses

  • Learn from the experience of the HSIB maternity investigation programme who has completed over 3000 primary safety investigations in England – this session will explore how the process could be adapted to all areas of healthcare
  • Explore the role of families, staff, trust boards and integrated care boards in safety investigations
  • Understand the benefits of a standardised investigation process that is responsive to individual families’ needs 

Sandy Lewis, Associate Director Maternity Investigations, Healthcare Safety Investigations Branch

Louise Page, Deputy Clinical Director Maternity Investigations, Healthcare Safety Investigations Branch

Rachel Rees, Team Leader, Healthcare Safety Investigations Branch

 

Panel

 

 

The Critical Care Outreach Practitioner Framework: A National Standardised Credential 

This session will present the rational, development and content overview of the Critical Care Outreach Practitioner Framework 

  • Understand the rational and need to develop a National educational framework and standardised credential for Critical Care Outreach Practitioners 
  • Look at the practice levels and framework content and competencies 
  • Find out how the standardised credential will be delivered 

Lesley Durham, President, International Society for Rapid Response Systems (iSRRS)

15.10 - Taking recognition and treatment of deterioration from good to great: Embedding the patient voice

  • How the patient voice can improve assessment of acute illness and co-produced treatment and care planning
  • Taking part in a national Breakthrough Series Collaborative to embed the patient voice in managing deterioration

John Welch, Consultant Nurse in Critical Care & Critical Care Outreach, University College London Hospitals and National Clinical Advisor, Acute Deterioration; and Co-Chair of the NHSE/I Patient Worry & Concern Task and Finish Group

 

 

15:35 Regroup with all attendees in Exchange Hall for the closing Q&A plenary session
15:40

Q&A Panel 

Patient Safety Question Time

Don’t miss out on the closing Q&A quickfire discussion with some of the most leading figures in healthcare! This is an opportunity for you to quiz and challenge our panel of patient safety experts. Send in your questions and comments live via the event app and find out the most common concerns amongst our audience - all to be addressed! 

Professor Charlotte McArdle, Deputy Chief Nursing Officer – Safety & Improvement, NHS England

Dr Habib Naqvi MBE, Director, NHS Race and Health Observatory

Abi Howarth, Director of Operations and Quality, Parliamentary and Health Service Ombudsman

Jono Broad, Senior Manager Personalised Care, NHS England SW

Professor Ted Baker, Former Chief Inspector of Hospitals, CQC

16:30

Chair’s closing remarks

Shaun Lintern, Chair, Patient Safety Congress and Health Editor, The Sunday Times   

Please take time to give your feedback via the app

 

 

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