Routes to Involvement: Patients and Families in After Action Reviews
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Expert guidance for anyone wanting to ensure patients and families are included in the After Action Review process
15 Years of AAR Expertise. Focused on Patient and Family Involvement
Despite growing support for involving patients and families in learning after safety incidents, their voices are still too often missing from the After Action Review (AAR) process in healthcare. This guidance document offers a practical, structured approach to changing that.
Based on over 15 years of experience in AAR facilitation and training, Routes to Involvement introduces four tailored pathways for patient and family participation, aligned with the NHS Patient Safety Incident Response Framework (PSIRF). It also provides a detailed process for safe, meaningful, and effective involvement—balancing the needs of patients, families, staff, and organisations.
Download the full report below to explore strategies, tools, and insights that support inclusive learning, rebuild trust, and improve recovery after safety incidents.

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Guided by a Global Leader in After Action Review
Led by internationally recognised AAR expert Judy Walker, this consultancy specialises in helping healthcare and corporate organisations embed After Action Review (AAR) as a powerful tool for learning, reflection, and improvement. Drawing on decades of experience, the business offers expert facilitation, strategic advice, and tailored training programmes to support psychologically safe, blame-free learning cultures.
Real Experiences. Real Results.
"I can’t recommend Judy more highly in terms of her professionalism, skilled facilitation and coaching and in the generous support she has provided to our organisation on this AAR journey.”
Dr Deborah Dover
Director of Patient Safety East London NHS Foundation Trust
‘Judy has presented AAR training for this Trust since October 2022 and she offered such brilliant advice, understanding and support pre the start of the sessions and since. All Trust conductors that Judy trained have found her knowledge, skills, and experience invaluable.”
Nicky Creasey
Trust Patient Safety Lead / Specialist East Sussex Healthcare NHS Trust
"The overall experience of collaboration with Judy Walker Associates Ltd has been positive and would recommend this training to other organisations who are passionate about patient safety and learning."
Samantha Smith
Head of Risk Management Horder Healthcare