Resources

In healthcare, keeping the people who are receiving care safe is not the responsibility of just one person, team, or department. It’s also not just the responsibility of those delivering the care—it falls on all of us. Whether you’re in leadership, at the point-of-care, or supporting the care process behind the scenes, you have a role to play in ensuring that the people being cared for in your organisation are safe.

In today’s rapidly evolving healthcare landscape, technology is both an enabler and a challenge, reshaping how we deliver, manage, and access healthcare services. Liz will discuss the critical role of clinical governance and safety in digital health. As we explore frameworks that underpin sound governance, including some takeaways from the Health Innovation Community (HIC) conference, we’ll consider what it means to 'think differently' about health technology - why the integration of clinical governance isn't just about compliance but about achieving better, safer patient outcomes. 

Root Cause Analysis (RCA) is a valuable tool in healthcare for identifying systemic factors that contribute to errors. However, its traditional deterministic approach often focuses on finding a single root cause, typically human error, which can limit its effectiveness in preventing future adverse events. This narrow focus is compounded by hindsight bias, where the outcome influences how past decisions and actions are judged. As a result, conventional RCA can inadvertently damage organisational culture by attributing blame instead of addressing system-level issues.

Clinical deterioration is a key risk for any organisation providing clinical care. This qualitative study investigates how three organisational influences - leadership, culture and hierarchies -  impact healthcare professionals' readiness to raise concerns about patient deterioration. 

Evidence supporting the association between high organisational performance and the presence of clinicians in senior leadership and management roles is steadily growing. Clinical involvement in organisational leadership has been positively linked to operational efficiency and care quality improvements. This in-depth research report from The Health Foundation looks at what the NHS can gain from strengthening clinical leadership and management, the challenges involved in doing so and how they might be overcome. 

The role of healthcare leaders is becoming increasingly complex and carries significant responsibility for consumer and employee safety. Leaders and managers often experience tension between adhering to regulatory standards and addressing the unique needs of their consumers and staff.  This dual focus can lead to a fragmented effort, where Health, Safety and Environment (HSE), with a focus on workers, and Quality and Patient Safety (QPS), with a focus on consumers, operate in silos rather than as integrated components of a cohesive safety strategy.
 

This storytelling guide is a guide for consumers and their support network who want to share their stories in such a way that they transform the human experience in healthcare. While storytelling is a powerful way to convey experiences in all areas of life, in health and human services it is vital for those advocating for change. 

This is a little story about four people named Everybody, Somebody, Anybody, and Nobody.

The Commission has released two new resources summarising the evidence on the effectiveness of interventions that aim to improve medication management at transitions of care.

In this webinar, Dr. Cathy Balding and her guest, Professor Alan Lilly, discuss Professor Alan's moment of realisation on the difference he could make leading improvement in clinical care.