There are many organisations and initiatives in the healthcare system which have the express aim of improving safety. We are not a patient safety body now, nor are we aspiring to be one. However, in order to move upstream to manage risk and costs, we need to influence providers. There are three channels for doing so; the membership channel, actions with commissioners and actions with regulators. The challenge is to turn good ideas for improvement into practice, to demonstrate collective impact and to ensure that our efforts complement and support each other.
We have a unique relationship with the healthcare system with every provider trust in England being a member of our indemnity schemes. This creates a platform for sharing solutions coupled with the financial leverage that the pricing of the indemnity schemes provides. There are some significant gaps in the continuum between incidents and claims.
We have learned from our recent consultation that trusts would welcome more support in responding effectively and transparently when concerns are raised.
Commissioners have responsibilities for improving the quality of services and there is potential for us to work together in using the levers and opportunities we have. We are not a regulator but as we get closer to the incident and overcome the obstacle of time-lag, we can take a greater role in informing the regulators where we find concerns, whilst providing a supportive role for improvement.