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The review explicitly aimed to address issues raised by the National Audit Office in its report, A Safer Place for Patients, as well as to look at the NHS approach to patient safety more widely.

The report makes a number of key recommendations to build on the progress already achieved in embedding patient safety in the NHS. These include establishing a national patient safety forum to oversee the design and implementation of a national patient safety initiative; simplifying the reporting of adverse effects to make it easier for clinical staff to report on a confidential basis without the fear of retribution; and establishing Patient Safety Action Teams to support frontline staff in delivering the national patient safety agenda.