Using a safety case approach to demonstrate the safety of the surgical system

Birmingham Children’s Hospital NHS Foundation Trust (BCHFT)

  • Project was led by Birmingham Children’s Hospital NHS Foundation Trust, as extension of phase two of the Health Foundation’s Safer Clinical Systems programme.
  • Focused on the surgical clinical care pathway at Birmingham Children’s Hospital.
  • Aimed to test the feasibility and effectiveness of the safety case approach in a complex care pathway.
  • Developed a safety case and examined questions, including the level of resources required, its usefulness compared to traditional safety assurance systems and how it could support board-level decision making.

The Birmingham Children’s Hospital NHS Foundation Trust project tested the feasibility and effectiveness of using a safety case approach to understand hazards and risks in a complex care pathway. The project focused on the plastic surgery clinical care pathway, which spans multiple teams and departments.

The work followed on from the trust’s earlier Safer Clinical Systems project, which had applied the safety case approach to the hospital at night handover system. The new project further explored the usefulness of the safety case approach in a non-industrial health care context, by testing it within a more variable and complicated clinical pathway system. The team examined questions such as:

  • how the methodology could be adapted and scaled up to suit the complexities of the care pathway
  • how the approach could be used to engage clinical teams in defining the safety requirements of a system and understanding existing hazards
  • what resources and skills were needed to develop and maintain the approach
  • how useful it was compared to the risk management and safety assurance systems that were in use
  • whether it supported the development of interventions to reduce hazards
  • how it could support board-level decision making on safety issues.

Contact details

For further information about the project, please email Dr Phil Debenham, Consultant Paediatrician, Associate Chief Medical Officer for Safety and Quality at Birmingham Children’s Hospital NHS Foundation Trust.

    You might also like...

    Press release

    A deeply concerning picture of the state of screening programmes in England

    The Health Foundation responds to the National Audit Office’s investigation into the management of health screening.

    Press release

    Investment is critical if we want to have a society that flourishes both socially and economically

    The Health Foundation has responded to the National Audit Office report on pressures on children's social care 

    Improvement project

    Addressing the frequent use of urgent care in the paediatric population of West Kent

    This project is aiming to address the unmet needs of children and young people in West Kent who use urgent care services most...

    Kjell-bubble-diagramArtboard 101

    Work with us

    We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

    View current vacancies
    Artboard 101 copy 2

    The Q Community

    Q is an initiative connecting people with improvement expertise across the UK.

    Find out more