Update on development of the Patient Safety Incident Response Framework
To ensure successful implementation of the PSIRF when rolled out in 2021, we are first working with a small number of early adopters who will shorty begin using an introductory version of the framework in their organisations.
Learning from the early adopters will inform the final version of the PSIRF which we anticipate will be published in Spring 2021. At that point, all other organisations will be encouraged to begin the transition to the PSIRF, with an expectation that all parts of the NHS in England will be using the new framework by Autumn 2021.
We will shortly publish a new webpage containing a range of further information about the PSIRF, including the introductory version of the PSIRF document being used by the early adopters. Local systems and organisations outside of the early adopter areas can use this version of the PSIRF to start to plan and prepare for PSIRF’s full introduction in 2021.
However, until the final version of the PSIRF is published and organisations transition to the new framework in Summer/Autumn 2021, they must continue using the current Serious Incident Framework.
Introduction of the Patient Safety Incident Response Framework
Using feedback we received via our engagement activity (see below), and as committed to in the recently published NHS patient safety strategy and NHS Long Term Plan, we have developed a new Patient Safety Incident Response Framework (PSIRF) to replace the existing Serious Incident Framework.
We aim to publish the new framework in Winter 2019/20 as introductory guidance. We will initially work with a small number of early adopters to test implementation. For all other organisations the PSIRF is being published for information only.
Using learning from the pilot sites, we will develop resources and guidance to support organisations to adopt and implement PSIRF, with an expectation that providers and local systems will begin introducing the new framework from Autumn 2020, with full NHS-wide roll out complete by Summer 2021.
- Early 2020 - PSIRF published as introductory guidance and NHS England and NHS Improvement begin work with a small number of early adopters.
- Spring 2021 - we will publish an updated framework based on our work with the early adopters. At this point local systems and organisations outside of the early adopter areas will be encouraged to begin the transition to the PSIRF
- Autumn 2021 - by this point all parts of the NHS in England expected to be using the PSIRF
Until an organisation has formally moved over to PSIRF, they are expected to continue to abide by the existing Serious Incident Framework and all its relevant reporting, incident investigation and management requirements.
What providers need to do
When the PSIRF is published all parts of the NHS should familiarise themselves with it and start to think about the steps they will need to take within their organisation or local system to adopt this new approach.
Working with early adopter sites and publishing the PSIRF well ahead of system-wide adoption ensures we are able to learn how organisations and systems can introduce the new framework most effectively and gives local organisations and systems the opportunity to fully prepare to embed the principles and requirements of the new framework.
Our engagement activity
Between March and June 2018, we held a range of engagement activities, including an online survey, asking people to share their views on how and when the healthcare system should investigate and respond to Serious Incidents.
The responses we received are informing the development of the Patient Safety Incident Response Framework that will replace the Serious Incident framework to provide national guidance on the systems, processes and behaviours providers, commissioners and oversight bodies are expected to adopt to ensure we respond appropriately when things go wrong.
Summary of engagement feedback
This document summarises the feedback received through our The future of NHS patient safety engagement activity.
Engagement questionnaire and supporting documents
Our survey closed on 12 June 2018, thank you to all those that took the time to share their views.
Please read this information before you start the survey.
Recorded webex presentation
Watch our 30 minute webex video to learn more about Serious Incident investigation and the five key factors contributing to poor investigation we identify in the discussion booklet.
Events and social media
As part of our engagement programme we hosted four workshops to bring together people associated with patient safety, from a variety of roles and backgrounds, to further explore how and when the NHS should investigate patient safety incidents:
#WeNurses tweet chat
On Thursday 24 May we hosted a #WeNurses Tweetchat as a further way to engage and seek your views about how and when the healthcare system should investigate serious incidents. View a summary of the chat and transcript of the posted comments.