There is a distinct appetite for developing and disseminating a simple protocol and guide to allow a more informal “non-academic” use of the tool (similar to that used by Jeanette Hounsgaard and the Swedish Healthcare people). The methodology developed is an extension of and complementary to the classic HAZOP approach, but for less well defined complex systems and environments.

It has also been noted that in their extensive applications there had to be a supply of trained facilitators (KWIKFRAMMERS) available to support the frontline teams seeking to use it.

Research Team

SWIFTFRAM TEAM - David Slater, Mark Boult and Mark Sujan

KWIKFRAMMERS - Laura Pickup HSIB. Jennifer Blair, Jess Wadsworth, Sabrina Vitello, Epsom and St. Helier NHS Hospital Trust.


Predictive Analysis of Complex Systems’ Behaviour - David Slater,

Rees Hill, Mark Boult, Mark Sujan, and Erik Hollnagel

FRAM as part of a “medical Students” training

ITo explore howto use / teach  FRAM as a standard technique which would allow medical students to make more sense of their required round of observations, and provide a more accessible “model” and insights in a common and more useful / user friendly format? It could also be taught as part of a wider “systems” syllabus in engineering.

Research Team

Mark Sujan -  CIEHF, Andy Carson-Stevens,Nathan Anderson Cardiff

Building Resilience into Pandemic Response

it is proposed to build an overview FRAM (Suitably peer reviewed!) which will form the overall “umbrella” schematic for a number of follow up projects developing the details of specific aspects.

There are many important issues at many levels of operation, such that some overall structure needs to be established to try and see the overall picture as well as teasing out the operational details. It is thus proposed to run a number of projects under an overall “umbrella” project, following the MERS 2015 Korean model. This will establish the framework and background boundary functions for the project.


Within this framework we propose to highlight a number of key areas as sub projects.        

These will include:-


  1. The Pandemic behaviour monitoring program - Cardiff
  2. The Clinical ICU focus – “Responding to an unknown disease” – Manchester lead
  3. The management of team performance - the prolonged effects of crisis on the responders – Epsom Trust and HSIB
  4. The PPE issue – The specification, adaptation and supply – Cardiff and Vale NHS
  5. The Development of Guidance- The rapidly manufactured Ventilator Response – CIHEF
  6. The social care outcomes – Glasgow


A Systems Analysis of the COVID 19 Pandemic Response: Part 1  – The overall model.

David Slater, Erik Hollnagel, Ralph Mackinnon, Mark Sujan, Andy Carson-Stevens, Alistair Ross and Paul Bowie

Research Team

  1. David Slater. Cardiff University - Overview
  2. 6 Project Teams