Quality and patient safety

Our commitment to quality

At Spectrum, we look to provide better care for all, through the delivery of high quality, safe and effective health and wellbeing services. We do this by listening to patients, service users and staff, as we strive to achieve Excellence in Care, one of our key objectives over the next few years.

The voice of our patients and people with lived experience is very important to the way we work. We use feedback we receive from patients and staff alongside learning from incidents, to ensure we continually improve all our services. It is essential that everyone is heard and feels they can contribute to the improvements we make across all our services.

Reporting and inspections

We produce regular reports linked to quality and patient safety. These are shared with those who commission our services, including NHS and Local Authority commissioners, Reports are also shared with independent regulators, such as the Care Quality Commission (CQC).

Our services are inspected by the CQC and HM Inspectorate of Prisons (HMIP).

Patient feedback is very important to us. It helps us to check that we are doing things right, listen to any concerns and use patient’s suggestions to make changes and improvements to our services.

We have a Patient Engagement Strategy, which explains how we use patient feedback, how we engage with patients and our commitment to co-producing our services.

Find out more about our approach to patient experience and engagement here.

We know that we may not always get things right for our patients. If we receive a complaint, this is fully investigated. Where possible and appropriate, we make and follow any recommendations for changes which arise.

We provide information to patients and to staff in lots of different ways, including access to interpreters and written information in different languages.

Patient safety is essential. The delivery of safe care is a key priority for Spectrum across all our services. We use national guidance and frameworks to develop our systems and processes, which ensures we are using the most up to date evidence to inform safe practice and maintain the delivery of high quality care for our patients. By using these frameworks, we aim to prevent accidents and reduce the risk of incidents happening. Where they do occur, we will investigate.

We involve staff and patients in developing a positive safety culture. Any feedback is used positively to implement change or introduce safety measures where relevant for each setting. Examples of improvements which have been made include safe management of medication and the use of equipment to prevent accidents.

Spectrum uses a dedicated incident reporting and management system which allows us to identify safety concerns quickly. This helps us to prevent avoidable harm and consistently improve our safety processes.

During 2023-24 there will be a change to the way we manage incidents, with the implementation of the NHS Patient Safety Incident Review Framework. Using the new approach, we are working with staff and patients to develop some different ways of reviewing incidents. This includes holding learning events, case reviews and discussions, with the option to undertake a full investigation if required.

Ensuring our staff have the right knowledge, skills and experience is a key part of delivering safe, high quality care. All our staff complete training which is relevant to their roles, using national training programmes and courses which provide the practical skills needed for their jobs.

Spectrum uses audits to check that all services are delivering care in line with national standards, our own policies and high expectations. We look at the audit results and listen to what patients are telling us about services so that we can be confident that services are safe, caring and responsive.

Confidentiality of information is a priority for all our teams. We are committed to maintaining high and legally required standards for keeping safe any information we hold about our patients and our staff, including patient healthcare records.

We have a named person who is responsible for ensuring the organisation keeps all our information safe, known as the Caldicott Guardian.

The Caldicott Guardian is defined as a senior person responsible for protecting the confidentiality of people’s health and care information and making sure it is used properly. All NHS organisations and local authorities which provide services mush have Caldicott Guardian.

Spectrum’s Caldicott Guardian is our Director of Nursing and Quality Assurance.


Safeguarding means protecting people’s health, wellbeing and human rights, to enable them to live free from harm, abuse and neglect. This includes protecting people from harm such as physical, emotional or sexual abuse.

The principles of safeguarding apply to everyone. However, some groups may require specific safeguarding interventions. These include:

  • Children and young people
  • Care leavers
  • Adults who have physical disabilities or neurodiversity
  • Any other adult who is in circumstances which increase their vulnerability, for example a patient in a prison environment, someone who is a victim of domestic abuse

If you have a safeguarding concern, please contact your local Safeguarding Adults or Safeguarding Children teams within your Local Authority. If there is a concern that someone is at immediate risk of harm, contact the Police via 999.

NHS England also has a Safeguarding App, which provides comprehensive information on safeguarding legislation and guidance.

The overarching principle of safeguarding adults is to ensure the views and opinions of the individual are at the forefront. Everyone has the right to live free from abuse or neglect and for their views and choices to be represented.

Spectrum works in partnership with Safeguarding Adults Boards (SABs) in areas where we provide services. The Care Act (2014) provides the legal framework within which SABs must carry out their duties. Spectrum works alongside other agencies, including other providers of NHS healthcare, local authorities, and Voluntary, Community and Social Enterprise (VCSE) organisations.

To find information about the SAB in your area, type the name of your Local Authority followed by Safeguarding Adults Board into a search engine.

For example, a search for Wakefield Safeguarding Adults Board will bring up this page.

Useful resources

NHS England Safeguarding Adults Pocket Guide

Social Care Institute for Excellence

National Domestic Abuse Helpline

Spectrum has a duty under Section 11 of the Children Act 2004 to ensure processes are in place to safeguard children from abuse or neglect. This requires partnership working with other agencies, patients and their families. We work within the principles defined by the statutory guidance Working Together to Safeguard Children 2023 which details the arrangements which must be in place for all partners, including health providers.

Each Local Authority in England is legally required to have partnership arrangements in place in the form of a multi-agency Safeguarding Children Partnership. Spectrum is a member of the partnerships in Local Authorities where we provide services to children.

For information about the Safeguarding Children Partnership in your area and to access multi-agency training and resources, type the name of your Local Authority followed by Safeguarding Children Partnership into a search engine.

Useful resources




Young Minds