The Innovation Agency leads the Patient Safety Collaborative for the North West Coast and delivers the National Patient Safety Improvement Programme in the region.


The National Patient Safety Improvement Programme (NPSIP) is the largest safety improvement initiative in the history of the NHS. Since its inception in 2014, the programme has been addressing national patient safety concerns. It works with patients, carers, clinicians, managers and safety experts, supporting the system to improve and uphold safety as a top priority. 

The Patient Safety Collaboratives, delivered by the AHSNs, work collectively on a number of national workstreams with staff in hospitals, community settings, primary care and care homes. 

The national workstreams, which are detailed below, include: early recognition and response to physical deterioration, improving maternal and neonatal safety, adoption and spread, and medicines safety.   

We also support our local partners with programmes of work to improve patient safety which include: stroke prevention and atrial fibrillation; transfer of care around medicines transformation; ESCAPE-Pain and the Anticipatory Care Calendar.

Many of the national innovation programmes we support with our fellow AHSNs are aimed at improving patient safety. And we offer opportunities for improvement and learning to support the adoption and spread of innovations. 



Early recognition and response to physical deterioration

Improving recognition of and response to deterioration and sepsis, including support for the adoption of the National Early Warning Score (NEWS2) across acute trusts and ambulance services, and supporting primary care and community care settings to develop a standardised approach and common language for communicating illness severity across the care pathway. 

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Improving maternal and neonatal safety

Supporting the national Maternal and Neonatal Safety Improvement Programme to improve the safety, outcomes and experience of maternal and neonatal care in England for women, babies and families. Building quality improvement expertise through coaching maternal and neonatal staff and hosting local learning systems to support topic specific system-wide improvements.

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Adoption and spread

Facilitating and accelerating the pace of the spread and adoption of effective evidence-based practice across England. In 2019/20 the programme is supporting the spread and adoption of the following priority interventions:

  • Emergency Department Safety Checklist
  • Chronic obstructive pulmonary disease (COPD) Discharge Care Bundle
  • PReCePT
  • Emergency Laparotomy Care Bundle

Additionally the programme will identify evidence-based interventions that will help inform future priorities.

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Medicines safety

Plans are being developed to provide improvement support to the National Medicines Safety Programme that aims to reduce the burden of medication-related harm in the NHS.

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