Patient Safety Incident Response Framework

The Patient Safety Incident Response Framework (PSIRF) > sets out the NHS approach to developing and maintaining effective systems and processes for responding to patient safety incidents for the purpose of learning and improving patient safety.

It replaces the Serious Incident Framework (2015) and represents a significant shift in the way the NHS responds to patient safety incidents and is a major step towards establishing a safety management system across the NHS.

It is a key part of the NHS Patient Safety Strategy, which supports the development and maintenance of an effective patient safety incident response system that integrates four key aims:

  • Compassionate engagement and involvement of those affected by patient safety incidents.

  • Application of a range of system-based approaches to learning from patient safety incidents.

  • Considered and proportionate responses to patient safety incidents.

  • Supportive oversight focussed on strengthening response system functioning and improvement.


Our Patient Safety Incident Response Plan (PSIRP) supports us in identifying our most significant patient safety priorities, how we might investigate them in line with the standards laid out by National Health Service England (NHSE), and to ensure that there is new learning from any investigation.

Our Incident Reporting, Management and Learning Policy explains the way that patient safety incidents are responded to and how patient safety investigations are undertaken at out Trust.