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749475
star this property registered interest false more like this
star this property date less than 2017-07-06more like thismore than 2017-07-06
star this property answering body
Leader of the House more like this
star this property answering dept id 34 more like this
star this property answering dept short name Leader of the House more like this
star this property answering dept sort name Leader of the House more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Leader of the House, when and in which House the Government plans to introduce the Patient Safety Bill. more like this
star this property tabling member constituency Kingston upon Hull North more like this
star this property tabling member printed
Diana Johnson more like this
star this property uin 3492 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-07-11more like thismore than 2017-07-11
star this property answer text <p>The Government has set out an ambitious programme of 27 bills and drafts bills and noted that additional bills will be announced as the session progresses. The timescales for forthcoming bills and draft bills will be announced in the usual manner in due course.</p><p> </p> more like this
star this property answering member constituency South Northamptonshire more like this
unstar this property answering member printed Andrea Leadsom more like this
star this property question first answered
less than 2017-07-11T16:11:25.707Zmore like thismore than 2017-07-11T16:11:25.707Z
star this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
unstar this property tabling member
1533
star this property label Biography information for Diana Johnson more like this
100186
star this property registered interest false more like this
star this property date less than 2014-10-21more like thismore than 2014-10-21
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, whether missed or inadequate hydrocortisone administration is included in the NHS list of Never Events. more like this
star this property tabling member constituency Oxford East more like this
star this property tabling member printed
Mr Andrew Smith more like this
star this property uin 211233 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2014-10-28more like thismore than 2014-10-28
star this property answer text <p>Missed or inadequate hydrocortisone administration is not currently included in the list of ‘never events’.</p><p> </p><p> </p><p> </p><p>We can confirm that the current list of Never Events is under review and there is a consultation underway which opened online on the 6 October 2014 and closes on 31 October 2014.</p><p> </p> more like this
star this property answering member constituency Mid Norfolk more like this
unstar this property answering member printed George Freeman more like this
star this property question first answered
less than 2014-10-28T15:28:25.797Zmore like thismore than 2014-10-28T15:28:25.797Z
star this property question first ministerially corrected
less than 2014-10-28T16:30:53.2329022Zmore like thismore than 2014-10-28T16:30:53.2329022Z
star this property answering member
4020
star this property label Biography information for George Freeman more like this
star this property previous answer version
24770
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property answering member 3918
unstar this property tabling member
95
star this property label Biography information for Mr Andrew Smith more like this
164370
star this property registered interest false more like this
star this property date less than 2014-11-24more like thismore than 2014-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what plans he has to increase the use of patient experience surveys in the NHS to inform patient safety initiatives; and if he will make a statement. more like this
star this property tabling member constituency Copeland more like this
star this property tabling member printed
Mr Jamie Reed more like this
star this property uin 215718 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-11-27more like thismore than 2014-11-27
star this property answer text <p>Patient experience surveys are a valuable source of evidence and the results are used in a range of ways, including the assessment of National Health Service performance as well as in regulatory activities such as registration, monitoring ongoing compliance and reviews. The Care Quality Commission has developed a new Intelligent Monitoring tool to give inspectors a clear picture of the areas of care that need to be followed up within an NHS acute trust or a specialist NHS trust. The system is built on a set of indicators that look at a range of information including patient experience, staff experience and performance.</p><p> </p><p> </p><p> </p><p>In addition to the patient experience surveys hospital boards and other providers and commissioners of services can also consider the results of the Friends and Family Test (FFT) to consider the implications for quality and safety. While not a traditional survey, the FFT provides near real-time feedback to identify both good and poor quality patient experience. A NHS England review of the FFT found that it is performing well as a service improvement tool, with 85% of trusts reporting that it is being used to improve patient experience, and 78% saying that FFT has increased the emphasis placed on patient experience in their trusts.</p><p> </p><p> </p><p> </p>
star this property answering member constituency Mid Norfolk more like this
unstar this property answering member printed George Freeman more like this
star this property question first answered
less than 2014-11-27T17:09:16.957Zmore like thismore than 2014-11-27T17:09:16.957Z
star this property answering member
4020
star this property label Biography information for George Freeman more like this
unstar this property tabling member
1503
star this property label Biography information for Mr Jamie Reed more like this
229164
star this property registered interest false more like this
star this property date less than 2015-03-23more like thismore than 2015-03-23
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what assessment he has made of the effect of the abolition of the Patient Safety Agency and the transfer of its responsibility for the National Reporting and Learning System to NHS England on the number of patient safety alerts issued between June 2012 and December 2013. more like this
star this property tabling member constituency Oldham East and Saddleworth more like this
star this property tabling member printed
Debbie Abrahams more like this
star this property uin 228685 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2015-03-26more like thismore than 2015-03-26
star this property answer text <p>Responsibility for issuing patient safety advice to the healthcare system in the form of patient safety alerts transferred from the National Patient Safety Agency to NHS England in June 2012. Between June 2012 – December 2013 one Patient Safety Alert (NHS/PSA/W/2013/001: ‘Placement devices for nasogastric tube insertion DO NOT replace initial position checks’) was issued on 5 December 2013. To date, all providers have reported this alert as either ‘complete’ or ‘action not required’.</p><p> </p><p> </p><p> </p><p>During the period in question NHS England maintained a constant review of patient safety incidents reported to the National Reporting and Learning System involving death and severe harm and, had an urgent patient safety issue needing alerting been identified, an alert would have been issued.</p><p> </p><p> </p><p> </p> more like this
star this property answering member constituency Mid Norfolk more like this
unstar this property answering member printed George Freeman more like this
star this property question first answered
less than 2015-03-26T14:20:27.06Zmore like thismore than 2015-03-26T14:20:27.06Z
star this property answering member
4020
star this property label Biography information for George Freeman more like this
unstar this property tabling member
4212
star this property label Biography information for Debbie Abrahams more like this
758760
star this property registered interest false more like this
star this property date less than 2017-09-07more like thismore than 2017-09-07
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many never events have occurred involving (a) audiologists, (b) cardiac physiologists, (c) gastro-intestinal physiologists, (d) neurophysiologists, (e) respiratory physiologists and (f) sleep physiologists in the last five years. more like this
star this property tabling member constituency Ellesmere Port and Neston more like this
star this property tabling member printed
Justin Madders more like this
star this property uin 9435 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-09-15more like thismore than 2017-09-15
star this property answer text <p>This data is not collected centrally. Never events are reported through a tool called the Strategic Executive Information System which does not routinely collect information on the specialty of staff involved in never events.</p> more like this
star this property answering member constituency Ludlow more like this
unstar this property answering member printed Mr Philip Dunne more like this
star this property question first answered
less than 2017-09-15T12:10:34.65Zmore like thismore than 2017-09-15T12:10:34.65Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
unstar this property tabling member
4418
star this property label Biography information for Justin Madders more like this
795959
star this property registered interest false more like this
star this property date less than 2017-11-28more like thismore than 2017-11-28
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps he is taking to reduce the number of never events in NHS trusts. more like this
star this property tabling member constituency Liverpool, Wavertree more like this
star this property tabling member printed
Luciana Berger more like this
star this property uin 116273 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-12-01more like thismore than 2017-12-01
star this property answer text <p>My Rt. hon. Friend the Secretary of State has commissioned the Care Quality Commission to carry out a Thematic Review into Never Events and this work will be supported by NHS Improvement.</p><p> </p><p>The thematic review will examine what can be done to reduce Never Events, and explore what further support and guidance the National Health Service needs to overcome the barriers that prevent the correct implementation of existing guidance. The review will also identify good practice happening throughout the NHS around Never Events and look to embed this throughout the NHS.</p> more like this
star this property answering member constituency Ludlow more like this
unstar this property answering member printed Mr Philip Dunne more like this
star this property question first answered
less than 2017-12-01T12:44:37.037Zmore like thismore than 2017-12-01T12:44:37.037Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
unstar this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
427713
star this property registered interest false more like this
star this property date less than 2015-11-10more like thismore than 2015-11-10
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps he is taking to ensure that NHS staff can report patient safety incidents quickly and efficiently. more like this
star this property tabling member constituency Halifax more like this
star this property tabling member printed
Holly Lynch more like this
star this property uin 15911 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2015-11-18more like thismore than 2015-11-18
star this property answer text <p>NHS England is responsible for the National Reporting and Learning System which collates information on patient safety incidents reported by staff working in NHS funded care.</p><p>There are plans to develop a new patient safety incident management system and one of the aims will be to make it quicker and easier for staff to report.</p> more like this
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2015-11-18T10:39:40.957Zmore like thismore than 2015-11-18T10:39:40.957Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
unstar this property tabling member
4472
star this property label Biography information for Holly Lynch more like this
442684
star this property registered interest false more like this
star this property date less than 2016-01-05more like thismore than 2016-01-05
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps are being taken to ensure that all NHS trusts are (a) identifying patient safety incidents, (b) conducting full investigations to identify the causes of such incidents and (c) implementing measures to prevent recurring such incidents. more like this
star this property tabling member constituency Wolverhampton North East more like this
star this property tabling member printed
Emma Reynolds more like this
star this property uin 21014 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2016-01-11more like thismore than 2016-01-11
star this property answer text <p>Currently, NHS England has a leadership role for patient safety in the National Health Service and supports providers to identify, understand and manage risks that might affect the safety of patients. The primary source for identifying risks is the National Reporting and Learning System (NRLS). The NRLS operates as a database and holds over 1.4 million locally reported patient safety incidents. These are reviewed to help address the identified issues or risks in the NHS. NHS England alerts NHS trusts of emerging patient safety risks via the National Patient Safety Alerting System – a three-stage alerting process which ensures the timely sharing of relevant safety information. The system also encourages information sharing between organisations so that examples of best practice can be widely adopted.</p><p>NHS trusts are expected to review their own patient safety incidents. The revised Serious Incident Framework published in March 2015 has sought to simplify the incident management process and ensure that serious incidents are identified correctly, investigated thoroughly and, most importantly, learned from to prevent the likelihood of similar incidents happening again.</p><p>The NHS standard contract also stipulates that providers must consider and respond to the recommendations arising from any audit, Serious Incident report or Patient Safety Incident report.</p>
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2016-01-11T09:46:58.877Zmore like thismore than 2016-01-11T09:46:58.877Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
unstar this property tabling member
4077
star this property label Biography information for Emma Reynolds more like this
446815
star this property registered interest false more like this
star this property date less than 2016-01-21more like thismore than 2016-01-21
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what guidance his Department issues on safeguards in hospitals for patients who are heavily medicated while they eat. more like this
star this property tabling member constituency Liverpool, Wavertree more like this
star this property tabling member printed
Luciana Berger more like this
star this property uin 23650 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2016-01-28more like thismore than 2016-01-28
star this property answer text <p>It is for health and social care providers to develop local nutrition and hydration policies and there are a number of best practice resources and guidelines available to help providers do this.</p><br /><p>Nursing staff understand the importance of proper nutrition and will follow guidelines in assessing patients for their ability to swallow safely. From this they can make judgements about a patient’s capability to eat and drink safely and adequately, which will include taking into account whether they are heavily medicated or not.</p><br /><p>The National Patient Safety Agency and the Royal College of Nursing published a series of factsheets in 2009, setting out the key characteristics of good nutritional care in healthcare environments.</p><br /><p><a href="http://www.nrls.npsa.nhs.uk/resources/?entryid45=59865" target="_blank">http://www.nrls.npsa.nhs.uk/resources/?entryid45=59865</a></p><br /><p>It includes the Council of Europe 10 key characteristics of good nutritional care in hospitals, which recommends that all patients are screened on admission to identify the patients who are malnourished or at risk of becoming malnourished; all patients are re-screened weekly; and all patients have a care plan which identifies their nutritional care needs and how they are to be met.</p><br /><p>The National Institute for Health and Care Excellence (NICE<em>) Quality standard for nutrition support in adults</em></p><br /><p><a href="http://www.nice.org.uk/Guidance/QS24" target="_blank">www.nice.org.uk/Guidance/QS24</a></p><br /><p>defines clinical best practice for adults in hospital and the community who are at risk of malnutrition. And NICE <em>Nutrition support in adults: Oral nutrition support, enteral tube feeding and parenteral nutrition</em></p><br /><p><a href="http://www.nice.org.uk/guidance/cg32" target="_blank">www.nice.org.uk/guidance/cg32</a></p><br /><p>offers best practice advice to help healthcare professionals correctly identify people in hospital and the community who need nutrition support, and enable them to choose and deliver the most appropriate nutrition support at the most appropriate time.</p><p><br> <br></p>
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2016-01-28T16:34:29.857Zmore like thismore than 2016-01-28T16:34:29.857Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
unstar this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
519221
star this property registered interest false more like this
star this property date less than 2016-05-18more like thismore than 2016-05-18
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many never events have been recorded in (a) Furness General Hospital and (b) Westmorland General Hospital in the last five years. more like this
star this property tabling member constituency Westmorland and Lonsdale more like this
star this property tabling member printed
Tim Farron more like this
star this property uin 37216 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2016-05-23more like thismore than 2016-05-23
star this property answer text <p>The information is not available in the format requested. In addition, data are not available at hospital level. The 2012-13 publication does not have trust level data.</p><p> </p><p>Published data on never events from 2012-13 to 2015-16 are available on the NHS England website at:</p><p> </p><p><a href="https://www.england.nhs.uk/patientsafety/never-events/ne-data/" target="_blank">https://www.england.nhs.uk/patientsafety/never-events/ne-data/</a></p><p> </p><p>The following table shows the reported never events at the University Hospitals of Morecambe Bay NHS Foundation Trust for 2013-14 and 2015-16. No never events were reported at this Trust in 2014-15. Cumbria Partnership NHS Foundation Trust, which also provides services from the Furness General Hospital and the Westmorland General Hospital, has no reported never events in the published data.</p><p> </p><p> </p><table><tbody><tr><td colspan="6"><p>University Hospitals of Morecambe Bay NHS Foundation Trust</p></td></tr><tr><td colspan="6"><p>2015-16 (monthly provisional)</p></td></tr><tr><td><p>Month</p></td><td><p>Retained foreign object post procedure</p></td><td><p>Wrong implant/ prosthesis</p></td><td><p>Wrong site surgery</p></td><td><p>Other NE (types 4-25)</p></td><td><p>Sub-total Serious Incidents reported as Never Events that can be matched to Never Event list type 1-25</p></td></tr><tr><td><p>July</p></td><td><p> </p></td><td><p> </p></td><td><p>1</p></td><td><p> </p></td><td><p>1</p></td></tr><tr><td><p>May</p></td><td><p> </p></td><td><p> </p></td><td><p>1</p></td><td><p> </p></td><td><p>1</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="6"><p>2013-14</p></td></tr><tr><td><p>Annual</p></td><td><p> </p></td><td><p>2</p></td><td><p>1</p></td><td><p> </p></td><td><p>3</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS England <a href="https://www.england.nhs.uk/patientsafety/never-events/ne-data/" target="_blank">https://www.england.nhs.uk/patientsafety/never-events/ne-data/</a></p><p> </p><p><em>Notes: </em></p><p> </p><ol><li>From April 2014, NHS England published provisional never events data as monthly updates throughout each financial year. Each report updates the previous month’s data as information on never events is reported or amended.</li><li>The provisional monthly never events data summaries for 2015/16 have been drawn from the STEIS system. Each report includes all Serious Incidents reported as occurring within the indicated timeframe, where they are designated by their reporters as never events at the date the data was extracted. Please note these reports are provisional data and subject to change.</li><li>As of 1 April 2016, patient safety is now part of NHS Improvement. Never events data publications for 2016/17 financial year and onwards will be published by NHS Improvement.</li></ol><p> </p>
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2016-05-23T14:31:01.157Zmore like thismore than 2016-05-23T14:31:01.157Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
unstar this property tabling member
1591
star this property label Biography information for Tim Farron more like this