healthcare safety investigator @theHSSIB & visiting fellow @LboroDesign. Improving the management of systemic risks and understanding inequalities. *own views*
United Kingdom
Joined February 2009
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Jonathan Back retweeted
#HSSIB REPORT
➡️ Action is needed to improve access to specialist diabetes care for adults who self-administer insulin and live with a mental health problem. Gaps between services are putting vulnerable patients at risk.
🔗Read the report: hssib.org.uk/patient-safety-…
Jonathan Back retweeted
Some thoughts on variability in both humans and LLMs: surfingcomplexity.blog/2026/…
Jonathan Back retweeted
Today my charity Patient Safety Watch and Imperial publish our biannual ranking of patient safety globally: the UK is a disappointing 21st out of 38 OECD countries. Why does Norway come top despite spending a lower proprotion of GDP? hsj.co.uk/patient-safety/nor…
Jonathan Back retweeted
Are there more rogue surgeons in specialised areas? GOSH CEO Matt Shaw tells me the metrics did not flag Yaser Jabbar and its an area of weakness for other hospitals, he says.
🚨 Exclusive: A dangerous surgeon at @GreatOrmondSt harmed more than a quarter of the children he operated on, a new report is expected to say this week.
Now the trust chief tells @thetimes he is "deeply sorry" but there is no evidence of cover-up...
thetimes.com/article/352ea8b…
Jonathan Back retweeted
Electronic patient record systems can contribute to “serious harm” when patient information is missed, delayed, or recorded incorrectly, a national safety watchdog has warned
bmj.com/content/391/bmj.r251…
Jonathan Back retweeted
NHSE and DHSC deserve a lot of credit for this candour 👏👏👏👏 Any improvement driven by data must have meaningful and honest metrics. Aggregating performance from multiple sites hides struggling departments.
In a completely unheralded but praiseworthy move, NHSE has released site-level data for A&E performance:
england.nhs.uk/statistics/st…...
Jonathan Back retweeted
In their editorial, Denham Phipps emphasises the importance of enhancing medication safety through effective system and tool design, rather than relying on individuals to adapt to suboptimal environments.
Read more 👉 bit.ly/4eIPQij
Jonathan Back retweeted
I think this is one of the worst scandals I've uncovered and yet it remains somewhat under the radar.
@wesstreeting has ordered an inquiry into the scandal. @CamillaKingdon has handed in her report to @DHSCgovuk. Why hasn't it been published?
🚨 Exclusive: New leaked document proves @NHSEngland was warned a decade ago about failures in child hearing test centres across England.
Hundreds of children have been harmed, some left with lifelong problems:
▶️ thetimes.com/article/294ce4c…
Jonathan Back retweeted
Patient Safety Watch has written to @wesstreeting , alongside @AvMAuk & @ClinicalHF about the transition of HSSIB to @CareQualityComm with recommendations around maintaining independence. Read more here:-
#patientsafety
hsj.co.uk/quality-and-perfor…
Jonathan Back retweeted
For Aortic Dissection Awareness Day, @theHSSIB invited me to write a guest blog reviewing the life-saving impact of their investigation & reports about acute Aortic Dissection, produced in collaboration with @AorticDissectUK & @THINK__AORTA. Pls read & RT.
hssib.org.uk/news-events-blo…
Jonathan Back retweeted
Professor Leng has now completed her review into the safety and effectiveness of the physician associate and anaesthesia associate roles. The following conclusions have been made.
gov.uk/government/publicatio…
Jonathan Back retweeted
Great work from HSSIB - it’s incredibly useful for NHS trusts implementing PSIRF to have examples of exemplar PSII’s. Hopefully these will be read and shared widely. #patientsafety
hssib.org.uk/patient-safety-…
Jonathan Back retweeted
The emphasis on data driven transparency & restoring confidence & trust in the CQC will be crucial. We must guard against politicising NHS performance - as we know from history that a ‘no bad news’ culture is a route to catastrophe.
#PatientSafety
Jonathan Back retweeted
Just tested a serious #AI vulnerability: hidden white-text prompts in a doc were executed without detection by both ChatGPT(@OpenAI) and Claude(@AnthropicAI). No resistance, no safeguards. #LLMs remain highly susceptible to doc-based prompt injection. This needs urgent attention.
Jonathan Back retweeted
She will roll back many changes made since the Mid Staffs scandal, returning power to managers & DHSC
Challenged she was giving back control to bodies numerous inquiries had shown had failed, she said: “No, I'm giving back the accountability to them". Right? Or dangerously naive?
🚨INTERVIEW: Tomorrow new NHS England chair Penny Dash will publish her review into patient safety. She sat down with The Sunday Times to explain her views on the NHS and what needs to change:
READ: thetimes.com/article/f90d6b9…
Jonathan Back retweeted
Our latest newsletter is now available via @HSJnews here. With a focus on the NHS’s 10-year plan and what it means for patient safety.
🔗 hsj.co.uk/patient-safety/pat…
#patientsafety #NHS #healthpolicy
Jonathan Back retweeted
Dr. Lucian Leape — a true pioneer and often called the father of the patient safety movement — has died at 94. His work transformed how we think about errors in healthcare.
#PatientSafety
nytimes.com/2025/07/01/healt…
Jonathan Back retweeted
The BBC are reporting this morning that HSSIB are being abolished. I’m confident that the reality is different to this - more likely to be a phased transition & then transfer of functions to sit within CQC.
bbc.co.uk/news/articles/c3w4…
Jonathan Back retweeted
Great to hear our founder Dr Ron Daniels (@sepsisuk) on the airwaves this morning talking to Good Morning Scotland @bbcradioscot about the signs of #sepsis & the importance of a fast diagnosis following a report from The Health Services Safety Investigations Body (HSSIB) 🧡