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 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 2017.

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 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.

Apply now

University of Nottingham

docxPatient Safety MSc bursary application form UoN 

University of Leicester

docxPatient Safety MSc bursary application form UoL

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.

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 focussed 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

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 apporach to improving acknowledgment of electornic test results presentation
pdfHuman Factors appproach 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