In this first podcast of our 'Patient Safety Incident Response Framework (PSIRF) - ask an early adopter' series we put your questions directly to West Suffolk NHS Foundation Trust, a provider of acute and community care. Joining us from the trust are Lucy Winstanley Head of Patient Safety and Quality, and Rebecca Gibson Head of Compliance and Effectiveness. If you want to skip to a particular question, the questions and corresponding times they feature are listed below. A huge thanks to those who asked questions via Twitter and our 5 September launch webinar. Also look out for our second 'ask an early adopter' podcast where we speak to mental health provider, Cornwall Partnership NHS Foundation Trust. 03:05 Who decided that the current SI framework was no longer fit for purpose? 07:05 In the orientation phase what was the structure of your team and did you break the work into workstreams/projects? 10:47 What teams did you lean on internally to support your transition to PSIRF? 13:07 How will ‘green’ incidents be handled differently? 16:20 How have you made this a new approach rather than just adding to previous approaches? What did you manage to stop doing? 19:20 How do you report/monitor deteriorating pressure ulcers? 22:17 How does PSIRF meet the Ockenden requirements for SIs? 25:00 Experiences using PSIRF in maternity 27:50 Can you talk about how patient and next of kin involvement has changed under PSIRF? 31:33 Which tools from the toolkit do you tend to use and when? 34:25 How are learning actions tracked so that oversight is not lost?