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926528

	registered interest
	date	18/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of introducing into NHS England a scheme analogous to the Scottish National Patient Safety Programme.
	tabling member constituency	South West Bedfordshire
	tabling member printed	Andrew Selous
	uin	154631
	answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>We note the Scottish National Patient Safety Programme aims to improve the safety and reliability of health and social care, and reduce harm.</p><p> </p><p>Like Scotland, our aim is to improve patient safety and for the National Health Service to be one of the safest healthcare systems in the world.</p><p> </p><p>Following the tragic events at Mid Staffordshire NHS Foundation Trust, the Government has introduced a number of significant programmes to promote and encourage better regulation, greater transparency and candour, and a culture of learning in the NHS in England, drawing from other safety critical industries.</p><p> </p><p>To further drive a culture of learning, the NHS trusts are required to review and investigate deaths of their patients and publish the learning and steps they are taking to improve patient safety. An independent Healthcare Safety Investigation Branch (HSIB) was set up in April 2016 and is now conducting major safety investigations into the most serious risks for patients, with a specific focus on system-wide learning and improvement. The HSIB’s remit was extended in April 2018 to include the investigations of early neonatal deaths, term stillbirths and cases of severe brain injury in babies as well as all cases of maternal death. Work is underway to further improve medicines safety including the accelerated rollout of electronic prescribing in hospitals, monitoring higher risk prescribing practice linked to hospital admissions, and addressing so called ‘human factors’ that contribute to errors.</p><p> </p><p>In June 2018, the Government announced a further package of measures to improve patient safety including a new National Clinical Improvement Programme that will provide NHS consultants with confidential data on their clinical results and help improve patient outcomes, the introduction of a system of medical examiners and the intention to extend the Learning from Deaths programme to general practice and ambulance trusts to promote learning and enable health organisations and healthcare professionals to learn from one another.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/06/2018 16:56:59 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1453 label Biography information for Andrew Selous

1019458

	registered interest
	date	03/12/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 17 October to Question 177600 on Patients, how many patient safety incidents were recorded as absconder or missing patient by hospitals in England and Wales in the National Reporting and Learning System in each NHS trust in the latest period for which information is available.
	tabling member constituency	Stockport
	tabling member printed	Ann Coffey
	uin	198237
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>During the period 1 October 2017 to 31 March 2018, the National Reporting and Learning System (NRLS) recorded 12,405 cases of ‘missing or absconded patient’ from a National Health Service trust hospital in England and Wales, including incidents involving a mental health patient. This category on the NRLS also includes patients who left without signing a ‘discharge against medical advice’ form and those who failed to return from agreed leave, on time.</p><p> </p><p>The attached tables show a breakdown of these cases by NHS trust for both England and Wales respectively. If a NHS trust does not appear in these tables, this is because the number of incidents is ‘0’.</p><p> </p><p>During the same period, the NRLS recorded 6,186 cases of ‘missing or absconded patient’ involving a mental health patient in England and Wales. This breaks down as 5,946 in England and 240 in Wales. This category on the NRLS also includes patients who left without signing a ‘discharge against medical advice’ form and those who failed to return from agreed leave on time.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 198238 question first answered 11/12/2018 13:31:32 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name PQ198237,198238.docx title PQ198237,198238 attached table
	tabling member	458 label Biography information for Ann Coffey

984845

	registered interest
	date	10/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many patient safety incidents were recorded as absconder or missing patient by hospitals in England and Wales in the National Reporting and Learning System in each care setting in the latest period for which information is available.
	tabling member constituency	Stockport
	tabling member printed	Ann Coffey
	uin	177600
	answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>During the period 1 October 2017 to 31 March 2018 National Reporting and Learning System (NRLS) recorded 12,398 cases of “missing or absconded patient” across England and Wales. This category on the NRLS includes patients who left without signing a ‘discharge against medical advice’ form and those who failed to return from agreed leave on time, rather than solely reports of patients who absconded or were reported missing.</p><p> </p><p>A breakdown by care settings for both England and Wales is provided in the following table.</p><p> </p><p>Incidents reported as “Missing or absconded patient”, by care setting for England and Wales</p><table><tbody><tr><td><p>Care Setting</p></td><td><p>England</p></td><td><p>Wales</p></td><td><p>Total</p></td></tr><tr><td><p>Acute / general hospital</p></td><td><p>5,781</p></td><td><p>146</p></td><td><p>5,927</p></td></tr><tr><td><p>Ambulance service</p></td><td><p>15</p></td><td><p>0</p></td><td><p>15</p></td></tr><tr><td><p>Community and general dental service</p></td><td><p>1</p></td><td><p>0</p></td><td><p>1</p></td></tr><tr><td><p>Community Nursing, medical and therapy service (incl. community hospital)</p></td><td><p>312</p></td><td><p>57</p></td><td><p>369</p></td></tr><tr><td><p>Community optometry / optician services</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>Community pharmacy</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>General practice</p></td><td><p>4</p></td><td><p>0</p></td><td><p>4</p></td></tr><tr><td><p>Learning disabilities service</p></td><td><p>87</p></td><td><p>2</p></td><td><p>89</p></td></tr><tr><td><p>Mental health service</p></td><td><p>5,754</p></td><td><p>239</p></td><td><p>5,993</p></td></tr><tr><td><p>Total</p></td><td><p>11,954</p></td><td><p>444</p></td><td><p>12,398</p></td></tr></tbody></table><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/10/2018 13:48:41 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	458 label Biography information for Ann Coffey

1468132

	registered interest
	date	07/06/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the impact of (a) staffing levels and (b) response times on patient safety in the most recent period for which data is available.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Dame Diana Johnson
	uin	13658
	answer	answer is ministerial correction date of answer 20/06/2022 answer text <p>No specific assessment has been made. Data on patient safety incidents is collected and reported through the National Reporting and Learning System (NRLS). However, the NRLS is a largely voluntary scheme for reporting patient safety incidents and does not provide the actual number of patient safety incidents occurring in the National Health Service.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 20/06/2022 14:21:47 answering member 4492 label Biography information for Maria Caulfield
	tabling member	1533 label Biography information for Dame Diana Johnson

1568112

	registered interest
	date	18/01/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment the Department has made of the number of patients who are avoidably harmed during routine medical procedures and surgeries.
	tabling member constituency	Hendon
	tabling member printed	Dr Matthew Offord
	uin	126603
	answer	answer is ministerial correction date of answer 24/01/2023 answer text <p>The National Reporting and Learning System (NRLS) provides a national database of reported patient safety incidents for the National Health Service in England. This data is published as official statistics alongside commentary. Within NRLS data, it is not possible to determine easily if the reported incidents took place during medical procedures and surgery that can be considered ‘routine’. The most recent publication for 2021/22 was published in October 2022 and available at the following link:</p><p><a href="https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/national-patient-safety-incident-reports-13-october-2022/" target="_blank">https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/national-patient-safety-incident-reports-13-october-2022/</a></p><p>The total number of patient safety incidents reported was 2,345,815. Most incidents are reported as causing no harm, 70.6% or low harm, 26.0%. Fewer than 4% of incidents reported caused higher degrees of harm, of which 0.5% were categorised as severe harm or death. NHS England reviews information in these two categories to characterise new, emerging and under-recognised risks and determine how they might be addressed.</p><p>The Learn from Patient Safety Events service will this year fully replace the NRLS. It will change the way information is collected to make it easier for providers to record and learn from patient safety incidents.</p><p>The Government continues to pursue higher patient safety standards and a transparent, learning culture in order to support the NHS to achieve continuous improvement in safety and to reduce harmful events happening in the first place.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 24/01/2023 14:34:19 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4006 label Biography information for Dr Matthew Offord

1471039

	registered interest
	date	16/06/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what progress he has made on the appointment of a new patient safety commissioner.
	tabling member constituency	Enfield North
	tabling member printed	Feryal Clark
	uin	19728
	answer	answer is ministerial correction date of answer 23/06/2022 answer text <p>On 20 June 2022, Henrietta Hughes was announced as the Government’s preferred candidate for the role of Patient Safety Commissioner. This role is subject to a pre-scrutiny appointment hearing by the Health and Social Care Committee on 5 July 2022.</p><p> </p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 23/06/2022 11:53:50 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4822 label Biography information for Feryal Clark

1131259

	registered interest
	date	11/06/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to support global patient safety.
	tabling member constituency	North Antrim
	tabling member printed	Ian Paisley
	uin	263152
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>Patient safety in the National Health Service is a key priority for the Government. We also remain committed to building on the momentum we have established to address patient safety challenges globally.</p><p>The United Kingdom-led World Health Assembly Resolution, ‘Global Action on Patient Safety’, was adopted on 28 May 2019. It urges all countries to prioritise safety in the delivery of universal health coverage and establishes an annual World Patient Safety Day on 17 September.</p><p>The Government is committed to maintaining its leadership role on global patient safety.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/06/2019 16:18:53 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4129 label Biography information for Ian Paisley

1352440

	registered interest
	date	03/09/2021
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, who is responsible for monitoring the implementation of the (a) national patient safety recommendations and (b) maternity safety recommendations made by the Healthcare Safety Investigation Branch.
	tabling member constituency	South West Surrey
	tabling member printed	Jeremy Hunt
	uin	41766
	answer	answer is ministerial correction date of answer 16/11/2021 answer text <p>Responsibility for monitoring the implementation of the Healthcare Safety Investigation Branch’s (HSIB) national patient safety recommendations rest with the recipient organisations. The National Patient Safety Committee, coordinated by NHS England and NHS Improvement, has established a pilot to examine how the implementation of all the HSIB’s national recommendations could be monitored, the potential resources required and information that may aid future evaluation. The National Patient Safety Committee’s draft report on the pilot is currently undergoing review and is expected to be finalised this year.</p><p>Responsibility for monitoring the implementation of the maternity safety recommendations made by the HSIB rests with individual National Health Service trusts. The HSIB works closely with trusts on addressing emerging themes from the investigations and has quarterly review meetings where trusts provide feedback on the actions being taken to implement the recommendations. The HSIB will raise any immediate concerns to the Department and NHS England and NHS Improvement via governance and assurance meetings.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 41767 41768 question first answered 16/11/2021 12:36:30 answering member 4492 label Biography information for Maria Caulfield previous answer version 19499 answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries answering member 1481
	tabling member	1572 label Biography information for Jeremy Hunt

1352441

	registered interest
	date	03/09/2021
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many of the 39 national patient safety recommendations made by the Healthcare Safety Investigation Branch in 2020-21 his Department has assessed as having been implemented in full.
	tabling member constituency	South West Surrey
	tabling member printed	Jeremy Hunt
	uin	41767
	answer	answer is ministerial correction date of answer 16/11/2021 answer text <p>Responsibility for monitoring the implementation of the Healthcare Safety Investigation Branch’s (HSIB) national patient safety recommendations rest with the recipient organisations. The National Patient Safety Committee, coordinated by NHS England and NHS Improvement, has established a pilot to examine how the implementation of all the HSIB’s national recommendations could be monitored, the potential resources required and information that may aid future evaluation. The National Patient Safety Committee’s draft report on the pilot is currently undergoing review and is expected to be finalised this year.</p><p>Responsibility for monitoring the implementation of the maternity safety recommendations made by the HSIB rests with individual National Health Service trusts. The HSIB works closely with trusts on addressing emerging themes from the investigations and has quarterly review meetings where trusts provide feedback on the actions being taken to implement the recommendations. The HSIB will raise any immediate concerns to the Department and NHS England and NHS Improvement via governance and assurance meetings.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 41766 41768 question first answered 16/11/2021 12:36:30 answering member 4492 label Biography information for Maria Caulfield previous answer version 19481 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380
	tabling member	1572 label Biography information for Jeremy Hunt

1132763

	registered interest
	date	18/06/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to ensure NHS patient safety.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	911420
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Patient safety remains a key priority for the National Health Service. NHS Improvement and NHS England are developing a new National Patient Safety Strategy that will sit alongside the NHS Long Term Plan.</p><p>The strategy will be published this summer and will build on existing work to provide a coherent framework that the whole NHS can recognise and support</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:03:47 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4109 label Biography information for Jeremy Lefroy