Scenarios to support training in using a just culture guide –

NHS Improvement, March 2018

Provided four case examples give you the material to explore how ‘A just culture guide: Supporting consistent, constructive and fair evaluation of the actions of staff involved in patient safety incidents’ works in practice. At the end of the document we provide a list of possible actions that can be tested for each scenario and highlight discussion opportunities to help trainers
prepare for the session.

Click here to view this report.


A just culture guide: Supporting consistent, constructive and fair evaluation of the actions of staff involved in patient safety incidents

NHS Improvement, March 2018

This guide supports a conversation between managers about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely.

Click here to view this report.

Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals?

Age and Ageing (2017) 46 (3): 518-521

This study aims to explore how patient safety in community dementia services is understood by caregivers, and healthcare professionals.

Click here to view the abstract for this paper.

Click here to email the Library and request this paper.

Transparency data: Learning from mistakes league

Monitor, March 2016

A league table identifying levels of openness and transparency within NHS trusts and foundation trusts.  The league table has been drawn together by scoring providers based on the fairness and effectiveness of procedures for reporting errors; near misses and incidents; staff confidence and security in reporting unsafe clinical practice; and the percentage of staff who feel able to contribute towards improvements at their trust.

Click here for further information.

Important message: British National Formulary (BNF70) and the Children’s British National Formulary (BNFC 2015)

British National Formulary, February 2016

Please be advised that due to errors contained within the previously distributed hard copy version of the British National Formulary (BNF70) and the BNFC (2015) that serious patient safety incidents have been reported through the national reporting and learning system (NRLS).

An adhesive addendum will be produced at the end of February to be placed on the front of all hard copies and where Trusts have distributed copies in house, they should consider re-calling all copies.

All Practitioners are reminded that the most current up to date accurate version of the BNF and BNFC can be accessed via the electronic site here.

You can also access this via the following links

·         Via Medicines complete – please click here for further details

·         Via NICE evidence summaries – please click here

·         Via NICE BNF app – please click here for further details

Continuous Improvement of Patient Safety

The Health Foundation, November 2015

This report synthesises the lessons from the Health Foundation’s work on improving patient safety. It looks at why improving safety is so difficult and complex, and why current approaches need to change offering examples and insights to support practical improvements in patient safety.

Click here to download the report.

Health and Safety Competencies for NHS Managers

NHS Employers, July 2015

This guidance looks at the nine key competency areas required for managers, identifying the core skills for every managerial post. It will help health and safety professionals and representatives to assess whether their managers have the right skills and competencies to manage health and safety effectively.

Click here to view the full guidance.