Updated Scottish Patient Safety Programme change packages for adults in hospital 

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A nurse in blue NHS Scotland scrubs is examining an older patient's face. Text reads: "Updated change packages for adults in hospital."

We have published updated change packages for the Scottish Patient Safety Programme (SPSP) Adults in Hospitals programme.


We have co-designed refreshed change packages for falls, pressure ulcers and deteriorating patients. SPSP is a national quality improvement programme. It aims to improve the safety and reliability of care and reduce harm.

The adults in hospital work supports boards to reduce harm for people in hospital and enhance the care experience and outcomes for people in hospital. 

These change packages show how the actions and changes a team makes will achieve improvement. They have been updated to provide evidence-informed theory for improvement in one accessible place.  

These packages will support teams to identify, test, and implement changes that promote safe, effective, and reliable care. They healthcare user outcomes with essentials of safe care aligned improvement. 

      The updated change packages include: 

      • downloadable driver diagrams 
      • change ideas
      • measurement frameworks, and  
      • supporting resources and tools.  
      Quote / Testimonial:

      “The refreshed SPSP Adults in Hospital change packages bring together evidence, improvement expertise and practical tools in one place to support a consistent approach to improvement across acute and community hospital settings.


      We encourage teams across Scotland to explore the resources and use them to drive meaningful improvements for the patients we care for.””

      Dr Lara Mitchell
      Strategic National Clinical Lead Acute, Healthcare Improvement Scotland 

      Access the change packages