Filter resources by focus area and profession

If you're working in one of the NHS England Patient Safety Collaboratives, we've tagged all of our resources according to the designated focus areas. We've also identified which resources we think are specifically useful to certain professions.

  • This content was commissioned exclusively for this Resource Centre

    Professor Cathy Warwick, The Health Foundation

    This discussion paper by Professor Cathy Warwick, CBE, General Secretary of the Royal College of Midwives in the UK calls for a radical redesign of maternity services with continuation of midwifery care at the heart of service provision. She argues that transformation of maternity services will only be possible with courageous, flexible and adaptive leaders.

  • The Health Foundation

    Patient safety today has evolved through a combination of inspirational individuals, local initiatives, legal requirements as well as some high profile failures of care. This interactive timeline is a visual guide through some of the key patient safety events, both in the UK and internationally, over the past 150 years.

  • Clinical Human Factors Group

    This guide provides boards, non-executives and senior leaders with a strategic view of the importance of human factors approaches to improving patient safety.

  • Safer Care North East Programme

    Being human by its very nature, makes us all fallible. The additional titles we bear as a result of our education, training and technical ability will never change the fundamental imperfections found among humans.

  • The Health Foundation

    Top ten resources looking at culture and leadership

  • Government commissioned independent report

    This report investigated maternity services at Furness General Hospital from January 2004 to June 2013, and concludes the maternity unit was dysfunctional and that serious failures of clinical care led to unnecessary deaths of mothers and babies. It makes a series of recommendations for the wider NHS as well as Morecambe Bay.

  • King’s Fund

    An interview with Dr Kim Holt, Consultant Paediatrician who ‘blew the whistle’ on the Baby P case in Haringey. She also founded Patients First, which is a support group for whistle-blowers.

    She discusses her experience and those of other health professionals who have been “whistle-blowers”.

    She discusses the need to change the system so that clinical staff feel empowered to speak up.

  • 1000 Lives Plus NHS Wales

    Achieving High Reliability in NHS Wales is a latest white paper from 1000 Lives Plus. It draws on technical theory and practical work from the NHS and other industries to explore how 'high reliability' could make NHS Wales a better and safer place for both staff and patients.  

  • 1000 Lives Plus NHS Wales

    This guide has been produced to enable healthcare organisations and their teams to successfully implement a series of interventions to improve the safety and quality of care that their patients receive focused around the usage of trigger tools.

  • BMJ Quality and Safety

    This paper summarises the findings of a more extensive report and proposes a framework which can guide clinical teams and healthcare organisations in the measurement and monitoring of safety and in reviewing progress against safety objectives. The framework has been used so far to promote self-reflection at both board and clinical team level, to stimulate an organisational check or analysis in the gaps of information and to promote discussion of ‘what could we do differently’.

  • The King's Fund

    A presentation by David Dalton, Chief Executive of Salford Royal NHS Foundation Trust about changing patient safety culture in an organisation.

  • This content was commissioned exclusively for this Resource Centre

    Dr Edward Prosser-Snelling MRCOG, The Health Foundation

    Recurrent reports have called for improvement in the way in which obstetric teams work together. The cultural and organisational working practices that differ between these groups can make handover and teamworking a challenge. Dr Edward Prosser-Snelling's article examines the nature of teams and handover in obstetrics and provides some suggested areas for improvement.

  • The King's Fund

    This paper examines the role of leadership in effectively shifting attitudes and behaviours to make patient engagement a reality and outlines eight key features of successful leadership for patient and family centred care.

  • Patient Safety and Quality Healthcare

    This discussion paper examines possible barriers and facilitators to patient engagement drawn from a literature search. It goes on to propose a framework with recommendations to address these barriers and promote patient-provider engagement.

  • Agency for Healthcare Research and Quality (US Department of Health)

    The guide focuses on four primary strategies for promoting patient/family engagement in hospital safety and quality of care. Hospitals can use the guide to identify opportunities to engage patients for safer care with real life, practical strategies.

  • The King's Fund

    The aim of the King’s Fund study was to obtain the views of women with recent birth experiences about the safety of the maternity care they received, to inform the King’s Fund inquiry into the safety of maternity services in England. 

  • Pediatric and Perinatal Epidemiology

    Evidence for staffing recommendations in labour wards is scant. This study aimed to test association between midwife workload with adjusted process of continuous electronic fetal monitoring (CEFM) and neonatal outcome indicators. This was a prospective workload study in 23 consultant-led labour wards in Scotland.

  • Childbirth Connection

    More than 100 leading experts set out to answer this question, reaching unprecedented consensus on the steps and actions needed to reform this critical and costly segment of the US health care system. 

  • This content was commissioned exclusively for this Resource Centre

    Jean Ball, Marie Washbrook, The Health Foundation

    This paper outlines the challenges of workforce planning in maternity services, particularly in intrapartum care, where demand is highly variable. It discusses some of the key features particular to maternity workforce planning such as the gold standard of providing 1:1 midwifery care, the transfer of care from one community area to a different secondary care area and the “hidden” workload undertaken in intrapartum care units managing patients who are not in labour.

  • Royal Colleges of Midwives, Obstetricians and Gynaecologists, Anaesthetists and Paediatrics and Child Health

    This report is prepared by the Royal Colleges of Midwives, Obstetricians and Gynaecologists, Anaesthetists and Paediatrics and Child Health. It examines the core and minimum standards required for safe maternity care, with a focus on staffing levels.

  • The King's Fund

    This detailed report from the King's Fund addresses the key question of how the safety of maternity services can be improved by more effectively deploying existing staffing resources.

  • The National Patient Safety Agency (NPSA)

    The Intrapartum Scorecard is a tool developed by the National Patient Safety Agency that can be used to collect and monitor data on staffing and activity levels in maternity units.

  • Royal College of Midwives

    This report examines four case studies of innovation and improved patient safety in maternity care in the UK.  It discusses factors which enable change and promote innovation and identifies strong networks between commissioners and providers appropriately resourced and with strong leadership and relevant information sources as critical in fostering improvement.

  • The King's Fund

    This detailed document reports on an independent inquiry into the safety of maternity services in England. It provides a broad and deep look at the wide range of issues affecting safety in maternity care, and will be relevant to settings and countries beyond England.

  • The King's Fund

    This chapter from the King's Fund toolkit on improving safety in maternity care focuses on leadership and staffing, and highlights how the two are always deeply interrelated. This is particularly the case when considering the role of leadership both within the maternity ward and across the broader organisation, where decisions on staffing, resourcing and the design of maternity services are made.

  • Acta Obstetricia et Gynecologica Scandinavica

    This journal article reviews seven studies that examined the leadership and team factors that support safe and effective maternity care. It provides a synthesis of the key attributes of safe leadership and teamwork, concluding that leaders with capability and experience on the front line have a greater impact than leaders that hold formal roles of seniority.

  • The King's Fund

    In this video, Chris Ham, Chief Executive of The King’s Fund, interviews Sir David Dalton, Chief Executive of Salford Royal NHS Foundation Trust about the lessons learnt on the journey to making Salford Royal one of the safest trusts in the NHS.

  • West Herfordshire Hospitals NHS Trust

    This film explains the innovative approach to safety improvement that has been developed by West Hertfordshire Hospitals NHS Trust, called “Onion”. Onion is a way to “peel back the layers” of what stops doctors, nurses and other staff being able to consistently deliver high quality, safe care to our patients.

  • Patient Stories

    This moving film recounts the harrowing experiences of the Titcombe family during their son, Joshua’s, tragically short life. The film is based on the testimony of James Titcombe, Joshua’s father and now a National Advisor on Safety for the Care Quality Commission. 

  • NHS England

    Safe staffing levels have been identified as a key element of delivering high quality, safe care. Commissioners and providers need to work together to regularly review staffing levels to ensure that staff are able to provide adequate contact time with patients to ensure safe care.