Safer system - 6: Education and training

Education and training

Consistently building clinical knowledge and capability as well as patient safety and improvement methods will provide the foundation for all elements to be enhanced.


Children, families and carers

  • Encouragement and awareness of the challenges of families to speak up
  • Involvement of patients and families in training and education, such as development of content, vignettes, videos or interactive sessions

Clinicians and wider team

  • Personal and team plans for development and learning on the components of the safe system, including induction requirements for new staff
  • Training and learning as a team (immediate and cross-boundary team)
  • Clear clinical handover protocol and expectations (such as handover bundle, online training, e-handover system, assessment-based structure)

Service or organisation 

  • Knowledge of training needs and opportunities for staff in the recognition and response to children at risk of deterioration
  • A range of training and education methods such as simulation and multi-disciplinary learning opportunities

Regional, national, networks

  • System-wide awareness of gaps and collaborative working to address issues


Emergency life support guidelines and courses – Paediatric Basic Life Support (BLS)Advanced Paediatric Life Support (APLS)European Paediatric Life Support (EPLS) and Newborn Life Support (NLS)

ReACT parent films (“If you see something, say something”) created for parents, and for staff supporting and empowering parents and families

films for parents and familiesexpert talks (including on sepsis and children with complex needs), webinars anddocuments and presentations.

Reducing Term admissions to Neonatal Units programme working to reduce harm and reduce separation of mother and baby, including jaundice and hypoglycaemia

SAFE resource pack - especially sections on quality improvement and patient safety culture

RCPCH e-learning resources - support paediatricians and other child health professionals to achieve the essential competences in a number of important areas.

Spotting the Sick Child – An interactive tool to support health professionals in the assessment of the acutely sick child

Parent stories for learning such as those told in text and short videos by Mothers InstinctThe Fixers,Meningitis NowMeningitis Research Foundation and The UK Sepsis Trust

Human Factors resources for learning – there are many good resources available such as Child Deterioration: Human Factors ReACT talk, Clinical Human Factors group website, Risky Business talks

NHS England patient safety webpages including information and guidance; Patient Safety Alerts, Patient Safety Collaboratives, Serious Incident Framework and Root Cause Analysis

NHS Improvement – patient safety information and resources now on this site, after the patient safety function was moved from NHS England to NHS Improvement in April 2016

NHS Improvement website – The Patient Safety function moved from NHS England to NHS Improvement on 1st April 2016 – patient safety pages will be added to the site for all new patient safety information and resources from this date


NHS Connecting for Health. (2009) Electronic Prescribing in hospitals. Challenges and lessons learned.

RJ McArtneyet al. An evaluation of clinical pharmacist contributions in paediatrics. Archives of Disease in Childhood Apr 2011;96(4):e1

Murdoch LJ, Cameron VL. Smart infusion technology: a minimum safety standard for intensive care? British journal of nursing. 2008; 17:630636

Tume LN, Sefton G, Arrowsmith P. (2013) Teaching paediatric ward teams to recognise and manage the deteriorating child. British Association of Critical Care Nurses. 19 (4): 196-203