Investigating under the Patient Safety Incident Response Framework (PSIRF): sharing HSSIB learning for future development

Published
Published 9 October 2025
NHS staff Patient safety themes Patient and family

This report shares our learning about patient safety incident investigation under the Patient Safety Incident Response Framework (PSIRF). It's intended for national and local organisations and policymakers to help inform future work to support staff in system-based investigation across the NHS in England.

No safety recommendations, observations, actions, learning prompts, scope items, or areas of improvement were extracted from this investigation.

This may be a launched investigation with no published scope bullets yet, or a thematic review without extractable formal items.

View the full investigation on HSSIB