Board Briefing >> CQC Assessment >> Board Accountability >> Standards & Cross-System Learning >> PSIRF Transition Services
This framework will replace the current 2015 Serious Incident Framework from next year. Providers are expected to start transitioning to the new framework within the next 18 months. It can’t be underestimated how much preparation work will be required.
Importantly this will apply not just to NHS organisations but to any company providing NHS funded care. This is a significant step forward, creating greater alignment and enabling the sharing of learning (captured from incidents) across the whole NHS care spectrum.
Having reviewed thousands of clinical incidents and serious incidents investigation reports, we applaud the vision and comprehensive approach laid out – that puts learning front and centre to improve safety for patients and welfare of clinicians.
Evidence we have gathered working in this realm fully supports the premise that incident investigations are frequently process driven, often alienating those involved. The ambition for quality (and value) over quantity of investigations coupled with real accountability, effective resourcing and pathway collaboration is welcomed. We have detailed below some important excerpts that apply to both CEOs and other board members – because they will now be held directly accountable for the quality of their organisation’s response and compliance with this new framework.
Key themes we want to share centre on CQC Assessments, Heightened Board Accountability and Standards & Cross-System Learning (click the heading below to read more).
Lorraine works with healthcare providers to identify and learn from risks to improve patient safety. Her work focusses on shaping systems and processes to provide early warnings for proactive risk management. Client programmes are anchored in the principles of engagement, transparency and leveraging data. Meaningful frontline engagement, using elements of Design Thinking, has enabled clients to better understand functional and cultural issues that inhibit learning.
Lorraine has applied this in Acute, Community and Mental Health settings. She has collaborated with the Stanford Risk Authority (of Stanford University Hospitals) for more than seven years focusing on innovative risk management processes.
Lorraine has worked in healthcare for almost 20 years and is a managing director of Price Forbes Healthcare. Lorraine holds a BA in Political Science and Economics.
Mark’s specialist clinical risk management knowledge centres around medical facilities including: Acute Hospitals, Mental Health and Community health including in Primary Care.
Mark has advised various Government bodies such as, Dept of Health and Ministry of Justice, by sitting on specially convened panels and industry sector groups to advise on clinical risk and indemnity, within the UK healthcare environment and similar healthcare economies across Europe.
Mark has worked closely with the healthcare regulators assisting these bodies in reviewing and assessing clinical risk, within all aspects of Healthcare, including public, private, not for profit and charitable sectors.
Mark is a managing director of Price Forbes Healthcare and read Law at Cambridge University, where he gained an MA.