Patient Safety Review

Opened the debate

The MP questioned the validity of the Dash review's recommendation to abolish HSSIB, citing examples where HSSIB recommendations led to significant improvements in patient safety. He highlighted that HSSIB was established to challenge the culture of denial and blame in the NHS, offering a new concept in healthcare safety investigations. The speech emphasised that HSSIB is an expert, full-time body capable of conducting cheaper and quicker investigations than public inquiries, thereby reducing costs while improving safety outcomes. Jenkin also criticised the Dash review for misinterpreting facts and law and failing to acknowledge the effectiveness of HSSIB's work. He questioned the justification for abolishing a body that has produced only 56 recommendations in its first 34 months compared to the numerous public inquiries, which have proven costly and ineffective.

Government Response

The Minister thanked Bernard Jenkin for securing the debate and acknowledged his concerns. She stated that the Penny Dash review was commissioned to improve leadership, listening, and regulation on patient safety within the NHS. The review found that the system has become too cluttered and complex, leading to unclear responsibility and duplication. Gill emphasised that the reforms are not about saving money but strengthening patient safety by streamlining the landscape. She clarified that the CQC will take over HSSIB's functions while maintaining a dedicated investigation capability, ensuring expertise and independence. The Minister outlined measures to protect safe spaces for disclosure and ensure clear ownership of recommendations to drive change. Gill reiterated the importance of linking investigations directly with action and improvement, aiming to prevent harm from recurring through system-wide learning and implementation.