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GP-meetingSeptember 1 2015

The new organisation that will investigate patient safety incidents from 2016 has issued a consultation on how it should operate.

The Independent Patient Safety Investigation Service will offer support and guidance to NHS organisations regarding investigations into serious patient safety incidents. It will also conduct a number of investigations itself.

Ahead of it coming into effect next April, an expert advisory group (EAG) is now consulting on what IPSIS should investigate, and what people, skills and action will be needed. The EAG is also asking for views on the independence, governance and accountability of IPSIS, how it should engage with stakeholders, and how it can share learning and support improvements.

Dr Mike Durkin, Director of Patient Safety at NHS England is chairing the EAG. He has commented that “system error is at the heart of the majority of failings in care and not the actions of individuals.

“Our focus must be on ensuring there is an acknowledgement and responsibility for learning from error and seeking continuous improvement with trust, honesty and respect for each other at the core of our individual and organisational behaviour.”

In addition, he said: “I believe that IPSIS will set a path by leading innovation in the way we investigate incidents in healthcare so that patients and their families get effective answers to their questions in an improved and timely fashion.”

The consultation includes 21 questions with free text responses and can be accessed until October 31 via the Department of Health’s Citizen Space.

Links:

DoH announcement      

Dr Mike Durkin article on IPSIS  

IPSIS consultation questionnaire              

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