[Skip to content]


Management/board members

Management and Board members of NHS organisations play a key role in ensuring the care given to patients is safe and that risks are reduced.


Making services safe for patients is essential in the provision of high-quality health services. Key to providing high-quality care is having good systems in place for staff to report when patients have, or could have, been harmed.


Trusts that report high levels of patient safety incidents suggest a stronger organisational culture of safety because they take all incidents seriously and link reporting with learning.


High-reporting organisations demonstrate strong and visible safety leadership from their Boards and senior managers. This means investing in robust systems and using incident data to support decision making at the highest level.


The National Reporting and Learning Service (NRLS) has produced guidance to help management and Board members lead the safety culture in their organisation:



Resources for management and board members are listed below.

TitleIssue dateType
Minimising Risks of Mismatching Spinal, Epidural and Regional Devices with...28 November 2011Alert
PEAT Assessments 201107 December 2010Data report
Never Events Annual Report 2009/1008 October 2010Data report
Never Events - Framework: Update for 2010-1124 March 2010Guidance
High Hazards- summary and full report01 March 2010Guidance
Pembury: summary report01 March 2010Guidance
Design for patient safety: user testing in the development of medical devices01 March 2010Guidance
Preventing suicide: a toolkit for mental health services25 November 2009Toolkit
Organisation Patient Safety Incident Reports07 October 2009Data report
Questions are the answer! Seven questions every board member should ask about...01 June 2009Guidance