Brought to you by

9-10 July 2018 | Manchester Central Translating policy and theory into practice

SPEAKERS INCLUDE

The Rt Hon Professor Sir David Dalton MP Alison Leary

Professor Julie Bailey CBE Sidney Dekker

Dr Bill Kirkup CBE Kevin Fong Keith Conradi of attendees in 2017 came away with an actionable idea they could implement – make sure you’re in this group in 2018! FOR BOOKING ENQUIRIES Contact Syed Ali at [email protected] or on +44 (0)20 7608 9072 or visit patientsafetycongress.co.uk

TANGIBLE SOLUTIONS 7 NEW IDEAS 7 EXTRA CONTENT 7 NATIONAL UPDATES 7 PATIENT INVOLVEMENT Brought to you by PATIENT SAFETY POSTER COMPETITION The poster competition recognises safety and quality improvement initiatives and provides an important platform for patient safety advocates to WHY ATTEND? exchange safety and quality breakthroughs with peers and stakeholders. 4 TAngiBLE SoLuTionS 4 PATiEnT invoLvEMEnT In 2017, 84% of attendees came away with an Patient speakers are contributing across the whole If you or your team have had success with an actionable idea they could implement – make sure programme, putting their insight at the heart of evidence-based and innovative quality or safety you’re in this group in 2018! safety and quality improvements initiative we want to hear from you! 4 nATionAL uPDATES 4 ExTRA ConTEnT For more information and to enter, visit Hear from policy makers and senior leaders to An additional two-day stream of content, shared patientsafetycongress.co.uk/patient-safety- understand how the national picture will impact your with Rapid Response 2018, focused on improving congress-2018-poster-competition work on the frontline care for the deteriorating patient 4 nEw iDEAS Be challenged and inspired by speakers from international healthcare systems and safety critical industries PROGRAMME

DAY 1 – MONDAY 9 JULY 2018

08:00 REgiSTRATion oPEnS • Learn how human factors impact the work of NASA, and processes they use to reduce risk • Understand how safety critical industries implement effective safety systems 09:00 – 09:10 wELCoME FRoM ConFEREnCE CHAiR • Make changes in your practice to improve safety in your organisation Shaun Lintern, Patient Safety Correspondent, HSJ 10:10 – 10:50 JoinT DEBATE wiTH RAPiD RESPonSE SySTEMS

09:10 – 09:50 JuST CuLTuRE: Moving BEyonD BLAME in youR oRgAniSATion r a p id r esponse SAFETy in HEALTHCARE, wHo DRivES CHAngE? system s 2018 Professor Sidney Dekker, Author of Just Culture: Restoring Trust and Accountability in Your Organization, P Chair: Shaun Lintern, Patient Safety Correspondent, HSJ griffith university Professor Ken Hillman, Professor of Intensive Care, university of new South wales Joe Rafferty, Chief Executive, Mersey Care Foundation Trust Julie Bailey CBE, Founder, Cure the nHS (the campaign group that exposed the Mid Staffs care scandal) Dr Josephine ocloo, Patient Representative and Researcher in Patient Safety Peter Homa CBE, Chair, nHS Leadership Academy • Hear the key principles of just culture from one of the leading thinkers in this area Kevin Fong, Consultant Anaesthetist, university College London Hospitals Foundation Trust • Learn how Mersey Care Trust put the principles into action to drive a cultural shift invited: Dr Celia ingham Clark, Medical Director for Clinical Effectiveness, nHS England • Understand and learn how to develop just culture practices • Do the best patient safety improvements come from the top or the frontline? • What should policy makers, leaders and frontline staff be doing to make hospitals safer? 09:50 – 10:10 JoinT PLEnARy wiTH RAPiD RESPonSE SySTEMS • How can we work together to drive improvements? DRiving CHAngE in SAFETy CRiTiCAL inDuSTRiES rapid r esponse s y s te m s 2018 Kevin Fong, Consultant Anaesthetist, university College London Hospitals Foundation Trust P

10:50 - 11:20 MoRning BREAK in ExHiBiTion HALL

HUMAN FACTORS: DRIVING A CULTURE IMPROVING PATIENT SAFETY THROUGH DELIVERING QUALITY IMPROVEMENT BRIDGING THE GAP: BEYOND THE THEORY OF PATIENT SAFETY GOVERNANCE AND COMPLIANCE ON THE FRONTLINE POLICY AND CLINICAL PRACTICE

Chair: Martin Bromiley oBE, Chair, Clinical Chair: Shaun Lintern, Patient Safety Chair: Dr Mike Durkin, Senior Advisor on Joint stream with Rapid Response Systems Human Factors group Correspondent, HSJ Patient Safety Policy and Leadership, rapid r esponse imperial College London system s 2018 P

11:20 - CREATing A SuSTAinABLE FoCuS wHy wE nEED A RELEnTLESS THE iMPoRTAnCE oF LiSTEning THE iMPACT oF gEnuinE MAKing iT EAS y To Do THE 12:00 on HuMAn FACToRS AS PART oF A DRivE on SEPSiS To PATiEnTS AnD RELATivES PARTnERSHiPS BETwEEn STAFF RigHT THing wHoLE HEALTHCARE SySTEM • Learn from an evidenced approach to • Understand the role of Duty of Candour AnD PATiEnTS • Examine how approaches from • Understand how Scotland has adopted and reducing admission to ITU, length of stay, in learning from accidents • Learn from the experience of the West behavioural science can be adopted into implemented a human factors approach readmission and mortality from sepsis • Learn from Susanna Stanford’s London Collaborative, which is working your work • Find out how human factors thinking has • Improve sepsis outcomes by simplifying endeavours to ensure that what with service users from West London • Use nudge theory and ‘doing the right been moved from individual projects to large processes and empowering staff happened to her doesn’t happen again Mental Health Trust thing’ to encourage consistent, good scale application • Hear Melissa Mead’s story – her son • Understand how healthcare professionals, • Improve experience of care by finding out practice • Reduce the impact of the human condition William died of sepsis at 12 months old. government, lawyers and patients can what really matters to service users and • Learn techniques to implement affecting patients by creating a long-term, His death spurred her to lead a campaign work together to improve safety and co-producing ‘Always Events’ interventions to improve patient consistent approach to save lives justice • Learn about the national resources outcomes Professor george youngson CBE, Melissa Mead, Ambassador, The uK Sepsis Peter walsh, Chief Executive, available to support co-production, and Stephen Bolsin, Adjunct Professor & Staff Emeritus Professor of Paediatric Surgery, Trust Action Against Medical Accidents input ideas for future resources Specialist, geelong Hospital university of Aberdeen Joan Pons Laplana, Transformation Nurse, Susanna Stanford, Patient Speaker Jane Mcgrath, Chief Executive, west Hannah Burd, Senior Advisor, Simon Paterson-Brown, Consultant General James Paget university Hospitals London Collaborative Behavioural insights Team Surgeon, Royal infirmary of Edinburgh Foundation Trust Helen Lee, Head of Quality Improvement and Siri Steinmo, Patient Safety Programme Paul Bowie, Programme Director - Patient Safety Dr Matt inada Kim, Consultant Acute Experience, Lancashire Care Foundation Lead, Royal Free London Foundation Trust & Quality Improvement, nHS Education for Physician, Hampshire Hospitals Foundation Trust Scotland Trust and National Clinical Advisor for Sepsis David Mcnally, Head of Experience of Care, (Stephen and Hannah are speaking again at Dr Shelly Jeffcott, Human Factors Specialist, nHS England 12:05 in the ‘Human Factors’ stream) nHS Education for Scotland Invited: nikki Maran, Consultant Anaesthetist, Royal infirmary of Edinburgh

FOR BOOKING ENQUIRIES Contact Syed Ali at [email protected] or on +44 (0)20 7608 9072 or visit patientsafetycongress.co.uk 12:00 – 12:05 TiME To MovE BETwEEn SESSionS

12:05 - BEHAviouRAL inSigHTS: uSing How BETTER uSE oF CoMPLAinTS EFFECTivE govERnAnCE in A iMPRoving THE CARE AnD EnD oF LiFE CARE in An ACuTE 12:45 THE PowER oF nuDgE THEoRy CAn DRivE LEARning AnD MuLTi-AgEnCy EnviRonMEnT ouTCoMES oF vuLnERABLE SETTing • Examine how approaches from behavioural ACCounTABiLiTy • Hear about effective partnership working in a PATiEnTS • “Talking DNACPR” - how to have difficult science can be adopted into your work • How to embed an open, transparent community setting • Meet the needs of vulnerable patients, in the conversations with patients • Use nudge theory and ‘doing the right thing’ complaints culture, to ensure learning from • Understand how collaboration achieves community, primary and acute settings • Have effective conversations in an to improve patient outcomes mistakes effective governance • Work in partnership with other organisations emergency - the national Recommended • Learn from real-world evidence to • Understand what is working well in NHS • Adopt partnership working in your area to to improve the care of vulnerable patients Summary Plan for Emergency Care and understand what is possible complaint handling in England and what isn’t improve patient journey and outcomes • Improve outcomes for vulnerable patients in Treatment (ReSPECT) Stephen Bolsin, Adjunct Professor & Staff • Hear from the new Ombudsman on his vision your care Dr Caroline Stirling, Clinical Director, End of Life Specialist, geelong Hospital for complaint handling in the NHS Care, nHS England Hannah Burd, Senior Advisor, Behavioural Rob Behrens CBE, Parliamentary and Health Jillian Hartin, Senior Nurse, Patient Emergency insights Team Service Ombudsman Response and Resuscitation Team (PERRT), (speakers also speaking at 11:20 in the ‘Bridging the Scott Morrish, Patient Speaker university College London Hospitals Gap’ stream) Foundation Trust

12:45 - 13:45 nETwoRKing LunCH BREAK in ExHiBiTion HALL

13:45 - THE REALiTy gAP: THE DiFFEREnCE LEARning FRoM inCiDEnTS AnD PREvEnTion, PREvEnTion, FigHTing THE RiSK oF inFECTion: iDEnTiFying AnD ESCALATing 14:25 BETwEEn ACTuAL AnD PERCEivED invESTigATionS To PREvEnT PREvEnTion: TACKLing THE CoLLABoRATing To iMPRovE THE DETERioRATing PATiEnT PERFoRMAnCE HARM nuMBER onE PATiEnT SAFETy METHoDS • How to use vital signs to identify deteriorating • Close the gap between the best efforts of • How to prevent repeat incidents by learning iSSuE • Understand research into infection control in patients quickly and improve outcomes your staff and full clinical effectiveness from mistakes • Understand the cost and prevalence of the high-risk situations • Using the National Early Warning Score 2 to • Learn from pioneering case studies • Empower junior doctors to engage with number one patient safety issue - Pressure • Prevent surgical site, catheter-associated and identify acutely ill patients • Use the evidence base to assess how best senior management to improve safety Ulcers other infections to improve outcomes and Dr John Kellett, nenagh general Hospital, practice can be adopted • Improve safety in the operating theatre and • Learn about current standards of care for the cut costs ireland Professor Bryn Baxendale, Director, Trent during the peri-operative period prevention of pressure ulcers • Implement improvements in your John welch, President, international Society for Simulation & Clinical Skills Centre, nottingham James Titcombe oBE, Patient Safety Learning • Hear about the most recent evidence on a organisation Rapid Response Systems university Hospitals Trust Invited: Dr william Lea, Clinical Fellow in Patient novel adjunct to standard of care that is Dr Jacqui Prieto, Associate Professor and Clinical Invited: Professor Bryan williams, Consultant Abbey Coutts, Nurse and Patient Representative Safety, york Teaching Hospital helping to reduce pressure ulcer prevalence Nurse Specialist, university of Southampton Physician, university College London Hospitals Professor iain Moppett, Professor of Anaesthesia Professor Jennie wilson, Richard Wells Research Foundation Trust and Perioperative Medicine, nottingham Centre, university of west London university School of Medicine Invited: Philip Howard, Consultant Pharmacist in Antimicrobials, Leeds Teaching Hospitals Trust

14:25 - 14:30 TiME To MovE BETwEEn SESSionS

14:30 - How To REConCiLE LEARning How THE nEw nATionAL ADDRESSing wRongDoing: THinKing KiDnEyS in PATiEnT ExAMining THE EvoLuTion oF 15:10 AnD ACCounTABiLiTy. wHAT ARE MEDiCAL ExAMinERS SERviCE RAiSing ConCERnS SAFELy AnD SAFETy: A CoMMuniTy APPRoACH HuMAn FACToRS AnD THE THE LiMiTATionS oF HuMAn wiLL SAvE LivES EFFECTivELy • A new approach to acute kidney injury to PRoSPECTS FoR A nATionAL FACToRS AnD JuST CuLTuRE? • Learn about the April 2019 rollout of the • The legal bit: what you can and can’t do when improve treatment and outcomes SAFETy PLAn • How to have moral and ethical conversations national network of medical examiners whistleblowing • How rapid patient deterioration can be • Put your organisation on the front foot: about failure to ensure learning from mistakes • Hear about medical examiner pilots and how • How to raise concerns to keep patient safety avoided by implementing basic checks in understand where human factors is • Foster a culture of openness and they have challenged systemic errors and foremost primary and secondary care heading next transparency to ensure learning from failure changed practice • How Freedom to Speak Up Guardians • Understand the importance of involving • Pinpoint the five key turning points in • Prevent repeat incidents through a culture of • Local implementation of Medical Examiners: improve safety in your organisation patients and families in prevention of AKI' human factors and establish what still open conversation and learning How to obtain the benefits at (almost) zero Dr Kim Holt, Consultant Community • Prevent avoidable deaths from AKI needs to be done Steve Shorrock, Human Factors Specialist and cost Paediatrician, whittington Health Trust Fiona Loud, Policy Director, Kidney Care uK • Consider how a coordinated national plan Work Psychologist Dr Henrietta Hughes, National Guardian for the Professor nicola Thomas, Professor of Kidney could focus efforts to embed safety and NHS Care, London South Bank university human factors Kathryn walton, Patient Speaker • How your trust can adopt the medical Francesca west, Chief Executive, Public Concern Invited: Dr Thomas Blakeman, GP Clinical- • 20 years of human factors in healthcare in Invited: Dr Suzanne Shale, Ethics Consultant in examiner approach at work Academic Lead, greater Manchester Kidney context Healthcare, Clearer Thinking Consultancy Dr Alan Fletcher, Medical Examiner (of the Health Programme Dr Suzette woodward, Campaign Director, documents and cause of death), Sheffield Dr nick Selby, Associate Professor of Nephrology, Sign up to Safety Teaching Hospitals Foundation Trust Derby Teaching Hospitals Foundation Trust Dr Hazel Courteney, Chief Executive, Professor Peter Furness, Consultant State Safety global Histopathologist and lead Medical Examiner, Invited: Professor Charles university Hospitals of Leicester Trust vincent, Emeritus Professor of Clinical Safety Professor Jo Martin, President, The Royal Research, imperial College London College of Pathologists (This session is repeated in the ‘Human Factors’ stream at 15:40)

15:10 -15:40 AFTERnoon BREAK in ExHiBiTion HALL

15:40 - ExAMining THE EvoLuTion oF RECogniTion AnD ESCALATion iMPRoving THE iMPACT oF iMPRoving SAFE CARE FoR inCiDEnT invESTigATion: 16:20 HuMAn FACToRS AnD PATiEnT oF THE DETERioRATing PATiEnT SAFETy MESSAgES MEnTAL HEALTH PATiEnTS LEARning FRoM ERRoRS SAFETy AnD THE PRoSPECTS in THE CoMMuniTy • Find out about plans to improve the impact of • Hear the latest evidence and debate on • Prevent repeat incidents by learning from FoR A nATionAL SAFETy PLAn • Measures to improve the recognition of the safety messages constraint and least restricted practice mistakes • Put your organisation on the front foot: deteriorating patient in the community • Engage with those making the improvements • The key elements of best practice in • Hear how others have implemented understand where human factors is • The role of community nursing, pharmacists and input your ideas improving the care and safety of mental processes to learn from incidents heading next and general practice in recognising and • Learn how tried and tested dissemination health patients from evidenced case studies Dr Helen Hogan, Associate Professor, • Pinpoint the five key turning points in escalating patients methods used in other trusts will work for you • Avoid harm and minimise instances of self- Department of Health Services Research and human factors and establish what still • Improve patient outcomes through John wilkinson oBE, Devices Director, MHRA harm and self-injury with the right structures Policy, London School of Hygiene and Tropical needs to be done communication and collaboration and practices Medicine and Health Foundation Improvement • Consider how a coordinated national plan Science Fellow could focus efforts to embed safety and human factors • 20 years of human factors in healthcare in context Dr Suzette woodward, Campaign Director, Sign up to Safety Dr Hazel Courteney, Chief Executive, State Safety global Invited: Professor Charles vincent, Emeritus Professor of Clinical Safety Research, imperial College London (This session is also on at 14:30 in the ‘Bridging the Gap’ stream)

16:20 – 16:25 TiME To MovE BETwEEn SESSionS

16:25 - JAMES REASon LECTuRE: 17:00 HoPE iS noT A PLAn: wHAT CAn HEALTHCARE LEARn FRoM SAFETy CRiTiCAL inDuSTRiES? Professor Alison Leary, Chair of Healthcare & Workforce Modelling, London South Bank university • Professor Alison Leary’s insights from her Winston Churchill Fellowship visiting organisations such as NASA to investigate approaches to 18:30 DooRS oPEn AnD DRinKS RECEPTion safety cultures and systems 19:30 DinnER AnD PRESEnTATion • Understand what these high reliability organisations do to handle risk, encourage safety cultures, utilise data and workforce 01:00 CARRiAgES • Learn what approaches your organisation could adopt to improve patient safety and workforce issues across the board Awards attendees only. For more information on attending contact Ryan Saunders at 17:00 nETwoRKing RECEPTion in ExHiBiTion HALL [email protected] or on +44 (0)20 7608 9043

FOR BOOKING ENQUIRIES Contact Syed Ali at [email protected] or on +44 (0)20 7608 9072 or visit patientsafetycongress.co.uk PROGRAMME

DAY 2 – TUESDAY 10 JULY 2018

08:00 REgiSTRATion oPEnS • Dr Bill Kirkup’s analysis of the Morecambe Bay, Jimmy Savile and Hillsborough investigations: the underlying causes that lead environments to fail 09:00 - 09:15 oPEning REMARKS FRoM CHAiR • Identify the warning signs to take action in your own organisation and nip problems in the bud inCLuDing THE AnnounCEMEnT oF THE winnER oF THE PoSTER CoMPETiTion • Adopt good practice to prevent problems escalating to crisis point Shaun Lintern, Patient Safety Correspondent, HSJ • Find out the winner of the Patient Safety Congress poster competition 09:50 – 10:25 onE yEAR on: wHAT CAn BE LEARnT FRoM HSiB invESTigATionS So FAR? • Finalists were chosen by our panel of expert judges, with the overall winner being decided by peers at the Congress Keith Conradi, Chief Investigator, Healthcare Safety investigations Branch (HSiB) • Find out more about the entries on the Congress app and in the Exhibition Hall • A year after HSIB was established, Keith Conradi will share key learning points from its first investigations • Learn from where harm has happened and the systemic causes 09:15 – 09:50 iDEnTiFying THE unDERLying CAuSES oF SySTEMiC FAiLuRE To DETERMinE How • How to use HSIB safety recommendations to raise standards in your organisation To AvoiD FuTuRE TRAgEDiES Dr Bill Kirkup CBE, Former Chair, Morecambe Bay investigation, Member, gosport independent Panel

10:25 - 10:30 TiME To MovE BETwEEn SESSionS

WORKFORCE: THE CRUCIAL COLLABORATING TO DELIVERING IMPROVEMENT USING RESEARCH TO SOLVE BRIDGING THE GAP: POLICY INGREDIENT FOR SAFETY ACHIEVE PATIENT SAFETY ON THE FRONTLINE 5DAY 26 THE BIG CHALLENGES AND CLINICAL PRACTICE 5DAY 26

Chair: Shaun Lintern, Patient Safety Chair: Dr Mike Durkin, Senior Advisor on Joint stream with Rapid Response Systems In association with Correspondent, HSJ Patient Safety Policy and Leadership, imperial rapid r esponse College London system s 2018 P 10:30 - SAFE STAFFing: TRAnSLATing MATERnAL AnD nEonATAL CARE CAn quALiTy iMPRovEMEnT BE LEADing FRoM THE ToP: Chair: Professor Sir Bruce Keogh, Chair, 11:10 EviDEnCE AnD PoLiCy inTo – How Do wE CoLLABoRATE To iMPRovED? nEw RESEARCH on TRuST Birmingham women's and Children's PRACTiCE PREvEnT HARM? • Discuss the findings of Professor Dixon- LEvEL LEADERSHiP Foundation Trust • Hear the most recent evidence and policy on • Hear how learning networks are at the Woods’ research into whether quality • How acute hospital boards have THE uSE oF TECHnoLogy safe staffing centre of improving maternal and improvement actually improves quality responded to the recommendations in To iDEnTiFy THE • See how this is being translated into effective neonatal care • Explore the challenges that impede QI, the Francis report practice by Hull and East Yorkshire Trust • Learn about key interventions which are including scale, variability of input and • The changes to leadership culture in the DETERioRATing PATiEnT • Translate best practice to your own situation improving safety lack of evaluation NHS, and the remaining challenges • Understand the application of to prevent avoidable harm • Find out more about the National • Learn how you can counteract these Professor naomi Chambers, Professor of technology in identifying and escalating Professor Peter griffiths, Chair of Health Maternal and Neonatal Health Safety challenges to improve the efficacy of Healthcare Management, Alliance Manchester the deteriorating patient Services Research, university of Southampton Collaborative your own QI projects Business School, university of Manchester • How to couple recent technologies with Ruth May, Executive Director of Nursing, Ann Remmers, Patient Safety Programme Professor Mary Dixon-woods, THIS Professor Judith Smith, Director of the the knowledge and intuition of your staff nHS improvement Director, west of England AHSn and Institute (The Healthcare Improvement Studies Health Services Management Centre (HSMC) to enhance patient safety and Mike wright, Executive Chief Nurse, Hull and Clinical Director, South west Maternity and Institute), university of Cambridge and Professor of Health Policy and experience East yorkshire Trust Children’s Clinical network Dr John Dean, Clinical Director for Quality Management, university of Birmingham Tony Kelly, National Clinical Director, Improvement and Patient Safety, Royal Julie Bailey CBE, Founder, Cure the nHS national Maternal and neonatal Health College of Physicians (the campaign group that exposed the Mid Safety Collaborative Jonathan Broad, Patient Leader Staffs care scandal)

11:10 – 11:40 MoRning BREAK in ExHiBiTion HALL

11:40 - RECRuiTMEnT AnD RETEnTion: wE TALK ABouT iMPRoving How To REDuCE FALLS To uSing TECHnoLogy To wHAT’S HAPPEning wiTH SEPSiS 12:20 RECoMMEnDATionS AnD CuLTuRE – BuT How Do wE iMPRovE CARE AnD SAvE CoSTS SuPPoRT SAFETy AnD How wE CAn Do BETTER SoLuTionS gET THERE? • Learn from projects that have reduced • How intuition can help avoid errors • Understand what the data tells us nationally • Hear the latest recommendations to • Learn how your organisation can work with inpatient falls caused by technology – ensure and Trust by Trust, to benchmark and make sure you have a safe level of staffing the Patient Safety Collaboratives to technology supports, not impedes improve your performance improve culture in line with NHS priorities 11:40 - • Explore the work of trusts who improved • Explore projects which have had an • Understand how to reduce the impact of • How your organisation’s culture must • Collaborate to improve hospital wide 12:20 their retention rates impact on culture, including alignment falls in the community support staff in using their own intuition responses to the deteriorating patient • Translate best practice to improve your with Sign Up to Safety • Explore how you could implement similar when something doesn’t feel right • Hear the impact of sepsis from the patient own retention rates • Join a discussion on how we achieve real measures in your setting to improve • How to couple recent technologies with perspective, and how Katie Dutton is using Professor Mark Radford, Director of Nursing improvements in culture patient care in a low cost, high impact the knowledge and intuition of your staff her experience to train others Improvement, nHS improvement will Lilley, Co-lead on the PSC Culture way to enhance patient safety and experience Dr Matt inada Kim, Acute Physician, Dean Royles, Director of Human Resources workstream, South west Patient Safety Hampshire Hospitals Foundation Trust and and Organisational Development, The Leeds Collaborative National Clinical Advisor for Sepsis Teaching Hospitals Trust Peter Jeffries, Co-lead on the PSC Culture Professor Mervyn Singer, Professor of Invited: nHS Employers workstream, west Midlands Patient Safety Intensive Care Medicine, university College Collaborative London Hospitals Foundation Trust Professor Jane Reid, Clinical Consultant, Katie Dutton, Nursing Student and Patient wessex Patient Safety Collaborative Speaker

12:20 – 12:25 TiME To MovE BETwEEn SESSionS

12:25 – MATERniTy SAFETy: SoFT SignS oF PATiEnT REDuCing THE RiSK oF iMPRoving EnD oF LiFE CARE SELLing RAPiD RESPonSE 13:05 inSTiLLing A CuLTuRE oF DETERioRATion ADMiSSion DuE To • Explore the approaches to end of life care SySTEMS To THE BoARD AnD TEAMwoRK To SAvE LivES • Hear how Patient Safety Collaboratives are MEDiCATion CoMPLiCATion across the UK PoLiCy-MAKERS • Prevent avoidable harm in your maternity helping to improve recognition of physical • Understand the new national thinking on • Take steps to improve the care of patients • How to make the quality and business case service by hearing the latest thinking from deterioration medication safety with dementia – in community and acute for critical outreach and rapid response leading experts • Discover how better identification of soft • Learn about what the evidence shows settings systems • Get the latest information and evidence from signs of deterioration has improved care in about the admission of those on multiple • “Talking DNACPR” - how to have difficult • The effect of a national standard for the Each Baby Counts initiative to improve domiciliary settings medications conversations with patients deteriorating patients on outcomes maternity and neonatal safety • Learn what soft signs intelligence teaches us • Improve admission rates through knowing Dr Katherine E Sleeman, NIHR Clinician Dr Francesca Rubulotta, Consultant in Critical • Real life case studies on why a culture of in critical care outreach teams what this means in practice Scientist and Honorary Consultant in Palliative Care, imperial College Healthcare Trust collaboration, openness and transparency is Catherine Dale, Co-Lead, Patient Safety Medicine, King's College London Associate Professor Daryl Jones, Associate essential for a successful maternity service Collaborative Deteriorating Patient Michael Hurt, Head of Older People and Professor, Critical Care, The university of Edward Morris, Vice President, Royal College of workstream Dementia, walsall Clinical Commissioning Melbourne obstetricians and gynaecologists Tracy Broom, Associate Director Patient Safety group Andy Heeps, Associate Medical Director for Collaborative, wessex Academic Health Science Jillian Hartin, Senior Nurse, Patient Emergency Quality Improvement, Barking, Havering and network Response and Resuscitation Team (PERRT), Redbridge university Hospitals Trust Andy Cook, Chief Nurse, interserve Healthcare university College London Hospitals Leigh Kendall, Writer, Coach and Patient Leader Maria Ford, Nurse Consultant in Critical Care, Foundation Trust Invited: Professor Jacqueline Dunkley-Bent, Salisbury Foundation Trust Head of Maternity, Children and Young People, nHS England

13:05 – 14:05 nETwoRKing LunCH BREAK in ExHiBiTion HALL 15:15 -15:45 AFTERnoon BREAK

14:05 - 14:40 How inSPECTionS HELP uS unDERSTAnD PATiEnT SAFETy 15:45 – 16:45 PAnEL: How DiD THEy Do iT? HEAR FRoM nATionAL LEADERS wHo ovERCAME Professor Ted Baker, Chief Inspector of Hospitals, SAFETy CHALLEngES • The Chief Inspector of Hospitals shares the preliminary findings of CQC Inspections Sir David Dalton, Chief Executive, Salford Royal Foundation Trust and Pennine Acute Hospitals Trust • Understand the key drivers for encouraging and driving improvement in your organisation Jackie Daniel, Former Chief Executive, university Hospitals of Morecambe Bay Foundation Trust • Join us for further insights into our work on patient safety across healthcare Kevin Mcgee, Chief Executive, East Lancashire Hospitals Trust 14:40 -15:15 KEynoTE ADDRESS: THE nExT STEPS FoR PATiEnT SAFETy • Three chief executives share how they turned their trusts around following safety controversies The Rt Hon Jeremy Hunt MP, Secretary of State for Health and Social Care • Hear what steps they took to improve patient safety and care • The longest serving health secretary outlines his vision for driving up safety and quality in the NHS • Apply their learning to your own organisation – overcome existing concerns and avoid problems happening • Hear about the current and future policy landscape and use this knowledge to build on your patient safety work 16:45 – 17:00 CLoSing REMARKS FRoM CHAiR • Place your work in a national context, and understand the impact on frontline work Shaun Lintern, Patient Safety Correspondent, HSJ

FOR BOOKING ENQUIRIES Contact Syed Ali at [email protected] or on +44 (0)20 7608 9072 or visit patientsafetycongress.co.uk PARTNERS NEW FOR 2018… rapid r esponse system s 2018 Prevention & Treatment of Deterioration PREMIUM EXHIBITOR Supported by:

4 The International Society for Rapid Response Systems is holding its 14th annual world leading conference on EXHIBITORS improving care for deteriorating patients alongside the Patient Safety Congress. 4 Delegates at each event will benefit from the clinical expertise of speakers in the shared sessions (see the programme inside) and the training and education opportunities in the expanded and interactive exhibition space. 4 Maximise your learning from the two events – tell a colleague about the Rapid Response conference!

Platinum sponsor FOR SPONSORSHIP ENQUIRIES Contact Jim Condon at [email protected] or on +44 (0)20 7608 9063 Visit rapidresponse2018.com for more information