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

East Midlands PSC is providing bursaries for four students undertaking MSc Patient Safety and Quality Improvement programmes at two of the region’s world leading universities.

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 four professionals working in healthcare within the region to undertake these newly created MSc programmes which commence in September 2016.

We would welcome applications from candidates across any professional background including but not limited to: nursing, medicine, management and AHPs.

We will fund 50% of the tuition fees for two students on both the University of Nottingham’s Quality and Patient Safety Improvement MSc and the University of Leicester’s MSc in Quality and Safety in Healthcare.

University of Nottingham


University of Leicester


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.

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