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Follow-up to PHSO report 'Learning from Mistakes' inquiry

Inquiry

The government must do more to coordinate its efforts to establish a culture of open-minded learning and investigation within the NHS in England, says the Public Administration and Constitutional Affairs Committee in its report.

The Committee inquiry followed the PHSO report, "Learning From Mistakes", which highlighted systemic problems with clinical incident investigations, where a fear of blame inhibited open investigations, learning, and improvement.

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We receive a significant number of emails each day. All requests and invitations are considered but we do not respond directly to everyone. Please be aware, the committee does not look at individual cases or specific complaints.

  • Email: pacac@parliament.uk
  • Address: Public Administration and Constitutional Affairs Committee, House of Commons, London SW1A 0AA