Senior Man's Hands On Walking Frame With Care Worker In Background
09 September 2021 02:39 PM

Creating a ‘safe-space’ in health and care investigations

09 September 2021

As MPs begin detailed scrutiny of the health and care bill, MDU head of government and external relations, Thomas Reynolds, explains why we are urging MPs to make a small but crucial amendment to the legislation.

A learning culture in the NHS is something that has to be constantly nurtured, and the health and care bill has a role to play in that; specifically, the formal inception of the Healthcare Safety Investigation’s Branch (HSIB) as a statutory, independent arm’s length body – the Health Services Safety Investigations Body (HSSIB).

The success of the new organisation will, like its forerunner, depend on effective collaboration and communication with doctors and their colleagues across the healthcare system, as well as with patients and their families.

For the HSSIB’s investigations to yield the results we all want to see, with improvements identified in the interests of patient safety, it is vital that the much vaunted ‘safe-space’ in this legislation –– is as robust and as safe as possible.

This is so healthcare professionals can engage with the HSSIB’s investigations without fear or blame and is why we are proposing an amendment to the bill – and urging MPs to back it.

We are concerned that the bill, as currently drafted, allows for coroners to be exempt from the prohibition of disclosure of HSSIB material. This would mean that individual coroners could routinely request material from the HSSIB’s investigations – naming individual doctors and other healthcare staff.

To ensure that the HSSIB’s ‘safe-space’ can work as effectively as possible; support the engagement of healthcare staff; reduce the prospect of fear and reluctance to engage with investigations and maximise the chances of HSSIB reports yielding meaningful improvements in patient safety – coroners should be removed from the list of exceptions to the prohibition on disclosure of HSSIB material.

Otherwise, it could affect healthcare professionals’ willingness to be fully engaged and open with HSSIB investigations. Especially given the potential consequences of being named in a coroner’s investigation such as a Fitness to Practise investigation by their professions regulator.

Next article

Related articles