Niall  Downey Profile Picture

Keynote SpeakerNiall Downey

Surgeon-turned-pilot, founded Framework Safety Group Ltd to bring aviation safety principles to healthcare and beyond

A published author and former international cyclist, he inspires audiences with expertise in leadership, teamwork, and reducing human error.... Read more

Biography

Niall qualified as a doctor from Trinity College, Dublin in 1993. He trained as a surgeon in Belfast and received his FRCSI in 1997. He was a trainee in cardio-thoracic surgery, working as an SHO in the Royal Victoria Hospital, Belfast, before returning to Dublin, where he worked as a registrar in the National Cardiac Surgery Unit in the Mater Hospital and Our Lady’s Children’s Hospital, Crumlin.

He subsequently retrained as an airline pilot with Aer Lingus in 1999 and combined aviation with medicine by working as an Accident & Emergency doctor for six years before focusing fully on aviation. After operating as a co-pilot on both the European and Transatlantic fleets, he qualified as a captain in 2010. He is currently operating out of their Manchester base on the Airbus A330 Transatlantic fleet.

In 2011, Niall formed Frameworkhealth Ltd, a company providing aviation-style safety training modified specifically for healthcare, which draws on his thirty-five years of experience between both industries. The company has since evolved into Framework Safety Group Ltd. This project aims to share aviation’s Safety Management System with healthcare and other industries in order to address the huge issue of adverse events, usually caused by systemic faults but often blamed on the last individual to have touched the ball. Niall aims to encourage industries, especially healthcare, to adopt a Just Culture, embed a systemic Human Factors approach, and empower staff, patients, and their families to speak up as part of the crew. His approach is based on the premise that technology and society have evolved faster in the last century than the human brain can accommodate, so we need to adapt to account for this and reduce the number of adverse events. He has spoken at many conferences locally, nationally, and internationally on the topic.

Niall has contributed articles to both specialist journals and national newspapers such as The Irish Times. He has also given interviews for national television, including RTÉ TV News and Virgin Media, and has been interviewed several times on BBC Radio. In 2016, Niall was appointed an Expert Advisor to the Northern Ireland Executive’s Department of Health following a well-received TEDx talk in Stormont’s Great Hall.

Niall cycled at national level for thirteen years and at pro-am international level for several years in the early ’90s and was a member of Northern Ireland’s Commonwealth Games panel. He subsequently worked as Medical Officer for both the Federation of Irish Cyclists (now Cycling Ireland) and the Ulster Cycling Federation. He also worked as Race Doctor at international level for six years.

In 2023, Niall had his first book, Oops! Why Things Go Wrong, published, which explored the increasingly topical issue of error across industry and society generally — and, most importantly, how to address it. The book is already in its second print run after higher-than-anticipated demand.

The success of the book has led to many invitations from outside healthcare, hence Frameworkhealth’s evolution into Framework Safety Group Ltd in recognition of this broadening scope.

"Niall Downey's unique perspective as both a pilot and a doctor is invaluable. His talks on human factors are insightful and engaging, highlighting the parallels between aviation and medicine. He convincingly demonstrates potential routes to improve patient safety and reduce medical errors in an easily digestible format, using real world examples and is always very popular with the audience. I would highly recommend him as a speaker." Dr Gráinne Murphy, Consultant Radiologist, University Hospitals Birmingham NHS Foundation Trust
"Niall is an exceptionally engaging speaker, who captures the attention of his audience from the very start of his sessions. He conveys key messages with energy and enthusiasm, in an accessible and entertaining manner. Niall brilliantly and effectively illustrates key learning points with practical examples. I have had the pleasure of attending his sessions on a number of occasions, and have always come away feeling both challenged and informed. I have heard Niall while in the Health, Justice and Education sectors, and have found his sessions readily transferable and impactful for all those areas. I would highly commend him." Richard Pengelly CB, CEO Northern Ireland Education Authority, Former Permanent Secretary NI Assembly Dept of Health then Dept of Justice.
"Captain Niall Downey is an excellent public speaker who brings a unique perspective from his dual careers as a cardio-thoracic surgeon and Aer Lingus pilot. His expertise in human factors offers invaluable insights for professionals across industries. Niall’s ability to communicate complex ideas with clarity and real-world examples makes his talks both engaging and practical. His insights on avoiding a name, blame, and shame culture, are particularly relevant for leaders in healthcare. I highly recommend Niall as a speaker for any organisation." Aisling O’Rourke, Founder, The Communication Coach, Former presenter/producer Newstalk FM, Ireland’s premier independent radio station.

Popular Talks by Niall Downey

  • System Design
  • Human Factors and Ergonomics
  • The science and neurophysiology underlying human error
  • Proven techniques from the aviation industry to address human error across industries.