The Patient Safety Commissioner (PSC) has published an Impact Paper reviewing the first three years of the PSC. In this paper, the PSC calls for continued integration of patient voice in digital transformation, prevention strategies, and AI deployment in healthcare. The creation of the PSC role was as a result of the 2020 Cumberlege Report. Professor Henrietta Hughes was appointed to the role in 2022. In the three years since, the PSC developed and promoted the Patient Safety Principles which were published in 2024 and have been widely adopted. In addition to other achievements, the PSC also provided contributed to major inquiries and reviews, including the Infected Blood Inquiry and the Hughes Report, which outlines a blueprint for redress for those harmed by valproate and pelvic mesh.