The SPPG & PHA are responsible for the regional management of the Serious Adverse Incidents process. The purpose of the SAI process is to improve patient and client safety and reduce the risk of recurrence, not only within the reporting organisation, but across the HSC as a whole. For the majority of SAIs reported, local learning will be identified and actioned by the reporting organisation.

The SPPG/PHA has a key role in reviewing all SAIs and identify regional learning for dissemination across the wider HSC. Regional learning is currently disseminated through a number of mechanisms such as learning letters, newsletters, reminder of best practice, referral to professional groups and learning events. Learning from the HSC response to the pandemic, we recognise the importance of face to face learning, and understand the variety of mechanisms there are to deliver, whether this is virtual or in person in order to effectively engage with key stakeholders, learn and change practice.

In addition to regional learning from SAIs, we wish to explore a more triangulated approach with learning from Patient Experience and Complaints.  Part of this will be exploring the importance of the Fundamentals of Care which is a common theme emerging from this triangulation of data.

Lead: Anne-Marie Phillips