CapabilityWe are working with a range of partners across the East Midlands to further enhance staff capability to improve patient safety. Whilst the provision of appropriate staff development remains the responsibility of individual organisations, East Midlands PSC is well placed to collaborate and coordinate initiatives which cross organisational, sectoral and geographical boundaries.

A key element of this work is to reinforce the concept that “safety is everyone’s business” and to ensure that human factors principles are embedded in workforce development.

Our work in this area includes:

MSc in Patient Safety and Quality Improvement

MSC Quality Improvement and Patient Safety funded bursary opportunity

The East Midlands Patient Safety Collaborative (EM PSC) is delighted to announce that it will provide bursaries for two students on the Northampton General Hospital/University of Northampton MSc in Quality Improvement and Patient Safety programme commencing May 2018.

As part of our work to increase the capability of the East Midlands to commission and deliver safer care for our population, we have agreed to fund 50% of the tuition fees for two professionals working in healthcare within the region to undertake this MSc programme at Northampton General Hospital/University of Northampton.

Your MSc must be relevant to one of our national priority areas ie Culture and Leadership, Maternity and Neonatal or Physical Deterioration.

Candidates interested in applying for one of the bursaries should familiarise themselves with the course content and then complete the docxbursary application form.

Course content information can be found viewing the following:

pdfMSc Quality Improvement and Patient Safety course overview

pdfMSc Quality Improvement and Patient Safety person specification

pdfMSc Quality Improvement and Patient Safety programme specification 

For an informal conversation about applying for EM PSC’s bursary, please contact: This email address is being protected from spambots. You need JavaScript enabled to view it.

MSc content specific queries should be made to This email address is being protected from spambots. You need JavaScript enabled to view it.

Completed applications and the supporting materials for the bursary should be sent to This email address is being protected from spambots. You need JavaScript enabled to view 17:00 on Monday 19 March 2018.

Root Cause Analysis (RCA) training provision

RCA methodology has long been used in the NHS to explore the factors which have led to harm and to formulate action plans designed to ensure that the harm is not repeated.

East Midlands PSC has produced a pdfRCA Training Compendium summarising the RCA training provision in provider NHS trusts to help organisations explore best practice learning and sharing opportunities in this discipline. We will use the compendium to promote discussion across these organisations to improve the quality of incident reports across the East Midlands. In addition, we are working nationally with our external experts to test a new concept in the UK: Introducing, testing and implementing the Human Factors Analysis and Classification System (HFACS) as a ‘blended’ approach to incident investigation in mental health trusts.

QThe QI Network was set up in response to the Health Foundation’s development of the Q community.  

We wanted to engage with our stakeholders in the East Midlands to inform them of the opportunities to join Q and other networks such as ENQUIRE, to enable them to apply for Q and to connect with others across the East Midlands. Opportunities to join Q have closed for 2017 and will re-open in spring 2018.

About Q

Q is an initiative connecting people who have health and care improvement expertise across the UK. It is being led by the Health Foundation and supported and co-funded by NHS Improvement.

Q’s mission is to foster continuous and sustainable improvement in health and care. To achieve this, the Health Foundation is creating opportunities for people to come together and form a community - sharing ideas, enhancing skills, and collaborating to make health and care better.

Q was co-designed with 231 founding members in 2015. This helps ensure Q is genuinely helpful to the diverse range of people leading improvement. Q will continue to evolve – being shaped with the community as it grows. There are currently 1353 members in the community, and by 2020 we anticipate a community of thousands – all belonging to an established long-term home for improvers.

The community is made of up a diverse range of people including those at the front line of health and social care, patient leaders, managers, commissioners, researchers, policymakers, and others. Including a wide range of perspectives boosts the power of Q as a source of innovation and practical problem-solving.

Q is not a taught programme, but a network of support for those already knowledgeable in undertaking improvement. There is no membership fee or minimum time commitment. Q is designed to support busy people with their current improvement work, on-going development and promote their visibility as a leader of improvement.

More information: about Q can be found at

Save the date!

Successful applicants will be welcomed at our Quality Improvement Network Event on 20 November 2017, Trent Vineyard, Nottingham.

Q resources and links
PDF for anyone interested in learning more about Q -

EMAHSN Patient Safety Collaborative QI Network 

The East Midlands QI Network is made up of individuals working in the field of quality improvement. This includes patients and representatives from industry, academia, health and social care.

The aim of the network is to:
  • Bring people together to offer peer support through facilitated learning
  • Provide a forum for learning and sharing
  • Develop capability in QI science methods so that we build a critical mass of people in the East Midlands who can support QI in their place of work
  • To provide a safe space for people to connect, debrief, re-energise and innovate
We want to bring together people who are working and have expertise in the quality field. Quality encompasses all three domains of the DARZI definition: patient experience, patient safety and clinical effectiveness. The QI Network is open to anyone, there is no application process. We ask you to sign up to the QI Network so that we have a group of individuals we connect with, send information to, exchange ideas with and support the capability building in quality improvement across the East Midlands.

We held a QI network event in May 2017 to collectively get a better understanding and improve capacity and capability in the East Midlands. The QI network is made up of a number of elements, view the key themes captured by a graphic artist at our event pdfhere.
QI Capability building strategy

The East Midlands PSC is working with a range of partners to further enhance staff capability. A key element of this work is to reinforce the ambition that "quality improvement is everyone's business" pdfview our capability building strategy here. 

East Midlands QI Network event May 2017:

The East Midlands QI Network, is made up of individuals working in the field of quality improvement.

Its aim is to better understand and improve capacity and capability in the East Midlands and this event focused on:
  • Engaging and supporting staff
  • Human Factors
  • Measurement
  • QI methodology
  • Evaluation and implementation

pdfClick here to view the slides from the plenary sessions.

Workshop session slides:

pdfEvaluation and Implementation workshop
pdfHuman Factors workshop
pdfMeasurement for QI workshop
pdfSecond victims workshop

Safety Huddles video from University Hospitals of Leicester NHS Trust 

For more information on the event or the network please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Human Factors CHILL event February 2017:
Human Factors Exchange presentation
pdfHuman Factors approach to improving acknowledgement of electronic test results presentation
pdfHuman Factors approach to improving recognition and management of AHRF presentation 
pdfMobilising Human Factors Knowledge to Maximise Safety Huddle Impact
pdfUsing the Human Factors Analysis and Classification System to enhance learning from serious incidents in healthcare poster

Failure Modes Effect Analysis (FMEA) - 
As part of the Capability building priority for the PSC we have been working with stakeholders to develop our learning from incidents. As a result, we have been trying several techniques. The Failure Modes Effect Analysis (FMEA) is one tool to help understand how harm occurs and how we can reduce the risk of repeat harms.

You can access various resources relating to FMEA, risk management and service improvement below.

pdfResilience in Healthcare by Erik Hollnagel