HEE Commission

Health Education England Patient Safety Commission Report

On Tuesday 8 March – during Patient Safety Week – Health Education England launched a report;  Improving Safety through education and training.

This was picking up from the Berwick report and its recommendation that

‘the NHS should continually and forever reduce patient harm by embracing wholeheartedly an ethic of learning’

The recommendations:

  • Create a culture of shared learning
    • ensure learning from patient safety data and good practice
    • develop and use a common language to describe all elements of quality, improvement science and human factors
    • ensure robust evaluation of education and training for patient safety
  • Patients at the centre of education and training
    • engage patients, family members, carers and the public in the design and delivery of education and training in patient safety
    • support the duty of candour with training package
  • Focus on safety from start to finish
    • support learners and staff to raise and respond to concerns about patient safety
    • create a coherent approach to mandatory training for patient safety
    • patient safety for NHS leaders
  • Education and training for patient safety
    • education and training must support an integrated approach to care
    • ensure increased opportunities for inter-professional learning
    • principles of human factors and professionalism must be embedded across education and training
    • ensure staff have the skills to identify and manage potential risks

While all equally important, inter-professional learning has huge potential for developing the foundations for mutually respectful, kind, understanding teams – vital for a safety culture where staff can feel able to speak out and listen to each other.