Foreword In response to the NHS England (NHSE) Primary Care Patient Safety Strategy, we have explored the processes by which we investigate and learn from safety events within our organisation. The results of this were reassuring, in that NPC already had a mature governance process in place which demonstrated transparency, shared learning, and involvement of all parties who had been affected by the incident. However, our culture is to always strive for improvement and search for learning in whatever we do or deliver. Safety incidents are no different in this philosophy. Our vision to implement the NHS England Patient Safety Response Framework (PSIRF) formed part of the key priorities in our 2024/25 Quality Account. The aim of this approach is to enhance how we manage patient safety reviews, the quality of completed investigations, and the approaches to implementing learning outcomes. We continue to be committed to this key priority to reflect a supportive learning environment and a ‘Being Fair’ culture which emphasises fairness, accountability, and learning rather than apportioning blame. This is central to NPC’s approach and promotes quality improvement and staff empowerment in delivering safe care. We will be taking every opportunity to apply the approach of quality improvement to patient safety events to empower our staff in providing high quality, safe care for our patients via the full implementation of PSIRF into the organisation on or by 01.06.2025.
Emma Smith Chief Clinical Officer www.norfolkprimarycare.com
Norfolk Primary Care – Patient Safety Strategy Statement May 2025 v2
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