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Patient Safety Charter

Patient Safety Charter (Section 6 of the Act) https://www.legislation.gov.uk/asp/2023/6/section/6

The Charter explains what patients and families can expect when safety concerns arise, and what the Commissioner expects from health-care providers and public bodies—particularly following major incidents.

Purpose of the Charter

  • To make patient safety expectations clear and public

  • To set out rights, responsibilities, and standards of behaviour

  • To ensure learning and improvement after harm

Who the Charter Is For

  • Patients and families affected by safety concerns or major incidents

  • Health-care organisations and professionals

  • Public bodies and regulators involved in safety oversight

Commitments of the Commissioner’s Office

The PSC commits to:

  • Listening respectfully and ensuring voices are heard

  • Acting on concerns to drive system-wide improvement

  • Focusing on systemic safety rather than individual blame

  • Communicating clearly, openly, accessibly and inclusively

  • Publishing findings and tracking responses to recommendations

  • Treating all people with fairness, dignity, and compassion

  • Using robust evidence and data to guide action

  • Supporting restorative, learning-focused responses to harm

  • Working collaboratively while remaining independent

Core Commitments of the Commissioner’s Office

Commitment 1 – We will listen and ensure your voice is heard

  • The PSC’s office will provide clear routes for people to share their experiences, concerns or ideas about patient safety.
We will ensure these voices inform our priorities, investigations and recommendations.

  • You should feel that your concerns are taken seriously, and that what you say helps shape safer care for others.

Commitment 2 – We will act on what we learn

  • Concerns, trends and patterns raised with the PSC will be analysed to identify systemic risks.

  • Where action is needed, the Commissioner will make clear, evidence-based recommendations to the relevant bodies and follow up on their implementation.

  • You can expect that what you share contributes to real, system-level improvement.

Commitment 3 – We will focus on systemic safety

  • The PSC will concentrate on improving the safety of systems rather than on individual blame.
Our work will help organisations learn and prevent recurrence of harm.

  • We aim to make Scotland’s health-care system safer for everyone.

Commitment 4 – We will communicate clearly and inclusively

  • We will explain who we are, what we do, and what we cannot do in plain language.

  • Our communication will be inclusive and accessible to people of all backgrounds.

  • You can expect clarity, honesty and accessibility from our office.

Commitment 5 – We will be open and transparent

  • Our findings, recommendations and progress reports will be published openly wherever possible.

  • We will explain the reasons for our decisions and share learning across the system.

  • You can expect openness and accountability in how the PSC works.

Commitment 6 – We will treat people with respect, fairness and compassion

  • All engagement with patients, families and professionals will be undertaken respectfully and with empathy, recognising the emotional impact of safety incidents.

  • The PSC will ensure that all voices are treated equally.

  • You will be treated with dignity and kindness.

Commitment 7 – We will collaborate for improvement

  • The PSC will work collaboratively with health-care providers, regulators, professional bodies and government to address shared safety challenges.

  • Partnership is essential for meaningful and lasting improvement.

  • You can expect the PSC to work with others to make change happen, not in isolation.

Commitment 8 – We will use data, evidence and insight to drive change

  • We will use data, research and lived experience to understand risks and measure progress.

  • Recommendations will always be based on evidence.

  • You can expect that our work is thorough, factual and improvement focused.

Commitment 9 – We will support learning and restorative practice

  • When harm occurs, we will encourage organisations to respond with openness, compassion and a commitment to learning.

  • We will support approaches that rebuild trust rather than assign blame.

  • You can expect the PSC to promote listening and learning, not punishment.

Commitment 10 – We will remain independent and impartial

  • The PSC operates independently of Government, health-care providers and regulators.

  • We will act only in the public interest, guided by evidence and integrity.

  • You can trust that the PSC’s work is free from undue influence.

Expectations of Health-Care Providers and Public Bodies

Providers and public bodies are expected to:

  • Listen and respond to patient and family safety concerns

  • Be open and transparent about incidents and learning

  • Act promptly to reduce risks and prevent recurrence

  • Cooperate with the Commissioner and provide relevant information

  • Foster a culture where staff and patients feel safe to speak up

  • Communicate inclusively and accessibly

Accountability

  • The Charter will be publicly available

  • A safety management system will be used to log and manage concerns

  • Progress will be reported through annual reporting

  • The Charter will be reviewed regularly in consultation with stakeholders