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The Cumberlege report, First Do No Harm, revealed that patients did not feel heard, did not have the information needed to make the right decision about their care, could not trust the answers or that the system prioritised their and their families safety.

First Do No Harm, the independent review of the safety of medicines and medical devices led by Baroness Julia Cumberlege, found that patients’ voices were ignored, and that the health system did not listen and act, but was defensive, dismissive, and disjointed. As the first ever Patient Safety Commissioner I have been listening to patients and patient safety experts to understand what needs to improve.