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Shared Insights: Impact of the Patient Safety Incident Response Framework (PSIRF) on preparing for inquests

07 May 2026

PSIRF became mandatory for all health services contracted under the NHS Standard Contract, including NHS-funded care delivered by independent healthcare providers, in April 2024. It replaced the Serious Incident (SI) framework.

The change in approach to investigations under PSIRF has resulted in some practical challenges to the way in which information and organisational learning evidence is presented to the coroner for inquests.

Chaired by Amelia Newbold, Risk Management Lead, this Shared Insights session discussed how the PSIRF and coronial processes can work more effectively together to ensure that coroners receive the information they need for inquests while preserving PSIRF's core principle of fostering a learning culture within healthcare.

Bringing together perspectives from across the system, we explored some of the key challenges and, importantly, shared positive and practical examples of how a collaborative approach across both learning and coronial processes can ensure that relevant information is shared effectively.

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Our speakers

Amelia Newbold

Amelia Newbold

Risk Management Lead

Amelia leads on the clinical risk management work we do for NHS Resolution, NHS Trusts and our other health clients. She has many years’ experience as a solicitor defending clinical negligence claims, acting on behalf of NHS Resolution and NHS Trusts and has also represented claimants.

Amelia.Newbold@brownejacobson.com

+44 (0)115 908 4856

Katie  Viggers

Katie Viggers

Professional Development Lawyer

Katie has extensive experience advising NHS and private sector organisations on mental health and mental capacity law and representing healthcare organisations at inquests. Katie was previously the Head of Legal Services for a mental health and learning disabilities NHS Trust.

katie.viggers@brownejacobson.com

+44 (0)330 045 2157

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