Measuring & monitoring safety

Related pages

Related links

Measuring and monitoring of safety framework The overarching Measuring and monitoring of safety framework

How safe is our care?" website
Collaborative website with shared learning from all of the UK wide regional bodies involved in testing the measuring and monitoring of safety framework.

Youtube: Testing the framework in Scotland
Visit the healthcare improvement scotland YouTube site to view a suite of videos on our work to introduce the framework in Scotland


We produce a regular update newsletter with information on the work of the Measurement and Monitoring of Safety Programme. You can read a selection of our recent newsletters below:

If you would like to sign up to our newsletter, you can do so by contacting Katy McLean on 0131 623 4300 or

Measurement and monitoring of safety

The measurement and monitoring of safety within a healthcare system is an important step to support the delivery of high quality patient care.

In 2013 the Health Foundation published a report ‘The measuring and monitoring of safety’. The report outlines a framework with five key elements, for measuring and monitoring safety within a healthcare system.

Developing and testing the framework for NHS Scotland

The Health Foundation is working with Healthcare Improvement Scotland and three other regional improvement bodies (Advancing Quality Alliance (AQuA), Haelo and Yorkshire and Humber Improvement Academy) to develop and test the framework locally.

The aim is to collectively develop insights, approaches and materials to support the use of the framework in practice across the NHS in Scotland.

Phase one

We have worked with NHS Borders and NHS Tayside to introduce and test the framework across the NHS in Scotland. The team at NHS Tayside focused on multi-disciplinary communications, safety planning and medicines safety testing within a mental health ward in Strathcathro Hospital, while NHS Borders developed a frailty pathway and focussed on testing the framework at point of admission to acute care as well as daily, weekly and monthly interactions from ward to board.

More broadly we have engaged with teams to align the framework with current programmes of healthcare improvement work in Scotland, including our own Learning from adverse events work, the Scottish Patient Safety Programme  and the Scottish Mortality and Morbidity Programme, with a focus on sharing experience and learning.

Video: The potential of the framework

The following video features our national clinical lead Dr Jonathan Kirk describing the potential of the framework for the measurement and monitoring of safety to improve healthcare in Scotland.


The programme now

Healthcare Improvement Scotland is continuing to work with regional improvement bodies, supported by the UK Improvement Alliance, and funded by the Health Foundation on phase two of the programme.  This work will run for a further 18 months until January 2018.

Our main aims are to work on the national alignment of the framework with healthcare improvement programmes and national policy, as well as continuing to learn from teams and organisations who want to test the framework within their own healthcare context.

More information on this work can be found on the Health Foundation website or by contacting  Jo Thomson on 0131 623 4350.