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926528
star this property registered interest false more like this
star this property date less than 2018-06-18more like thismore than 2018-06-18
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care 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 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. more like this
star this property tabling member constituency South West Bedfordshire more like this
star this property tabling member printed
Andrew Selous more like this
star this property uin 154631 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer remove maximum value filtermore like thismore than 2018-06-21
star this property 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>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-06-21T16:56:59.25Zmore like thismore than 2018-06-21T16:56:59.25Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
unstar this property tabling member
1453
star this property label Biography information for Andrew Selous more like this
922422
star this property registered interest false more like this
star this property date less than 2018-06-12more like thismore than 2018-06-12
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care 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 and Social Care, how many never events were recorded by NHS trusts in each of 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 152793 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 2018-06-19more like thismore than 2018-06-19
star this property answer text <p>Never Events are serious incidents that are entirely preventable because guidance or safety recommendations providing strong systemic protective barriers are available at a national level, and should have been implemented by all healthcare providers.</p><p> </p><p>National Health Service providers are encouraged to report all Never Events through the National Reporting and Learning System. The Care Quality Commission views failure to report a Never Event as a breach of a provider’s registration requirement and which may attract sanctions.</p><p> </p><p>Below are the total numbers of Never Events for the last five years which are published online by NHS Improvement and can be accessed at the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/resources/never-events-data/" target="_blank">https://improvement.nhs.uk/resources/never-events-data/</a></p><p> </p><p>The last column contains the total of Never Events reported by NHS trusts.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total number of Never Events</p></td><td><p>Total number of Never Events from NHS trusts</p></td></tr><tr><td><p>2013/14</p></td><td><p>338</p></td><td><p>322</p></td></tr><tr><td><p>2014/15</p></td><td><p>306</p></td><td><p>288</p></td></tr><tr><td><p>2015/16</p></td><td><p>442</p></td><td><p>412</p></td></tr><tr><td><p>2016/17</p></td><td><p>445</p></td><td><p>414</p></td></tr><tr><td><p>2017/18 (provisional data subject to change as local investigations take place)</p></td><td><p>469</p></td><td><p>434</p></td></tr></tbody></table>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-06-19T10:18:13.657Zmore like thismore than 2018-06-19T10:18:13.657Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
unstar this property tabling member
4418
star this property label Biography information for Justin Madders more like this
857717
star this property registered interest false more like this
star this property date less than 2018-03-08more like thismore than 2018-03-08
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care 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 and Social Care, how many independent serious incident reviews were (a) commissioned and (b) completed (c) not completed by NHS England in each month between May 2015 and June 2017; and what the reasons were for the reviews not being completed by 28 February 2018. more like this
star this property tabling member constituency Preston more like this
star this property tabling member printed
Sir Mark Hendrick more like this
star this property uin 131618 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 2018-03-13more like thismore than 2018-03-13
star this property answer text <p>We do not hold all of the information requested centrally.</p><p> </p><p>NHS England has provided the attached information for the period between September 2016 and June 2017, which includes a monthly status of reported serious incidents with the following investigative status: planned, underway, completed, awaiting clearance or not yet allocated for investigation ‘blank’.</p><p> </p><p>The following points should be noted:</p><p> </p><p>- This information has been collected since August 2016, when NHS England put in place a national system for sub-regional and regional teams to escalate serious incidents via a Serious Incident Desk;</p><p>- NHS England does not hold information at a national level as to why investigations have not yet been completed. Most investigations should be completed within six months of being commissioned, however some may take longer due to the complexity of the incident; and</p><p>- NHS England does not hold information on serious investigations only led by clinical commissioning groups or trusts. The latter has not been included within this response.</p><p> </p>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-03-13T12:44:57.81Zmore like thismore than 2018-03-13T12:44:57.81Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property attachment
1
star this property file name PQ131618 attached table.docx more like this
star this property title PQ131618 attached table more like this
unstar this property tabling member
473
star this property label Biography information for Sir Mark Hendrick 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
773000
star this property registered interest false more like this
star this property date less than 2017-10-18more like thismore than 2017-10-18
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 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government when they expect to bring forward the Patient Safety Bill announced in the Queen's Speech in June. more like this
star this property tabling member printed
Lord Hunt of Kings Heath more like this
star this property uin HL2201 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 2017-10-31more like thismore than 2017-10-31
star this property answer text <p>Patient safety has been a key priority for this Government and we have made huge strides to ensure patients have access to high quality healthcare.</p><p> </p><p>Following the Queen’s Speech in June, the Government committed to publishing a bill to establish a new independent body to investigate serious patient safety incidents in the National Health Service, with a focus on learning.</p><p> </p><p>The Health Service Safety Investigations Bill was laid in draft in Parliament on 14 September 2017 and will undergo a period of pre-legislative scrutiny. Following pre-legislative scrutiny, introduction of the Bill will depend on parliamentary time being available.</p> more like this
unstar this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2017-10-31T15:05:55.337Zmore like thismore than 2017-10-31T15:05:55.337Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
unstar this property tabling member
2024
star this property label Biography information for Lord Hunt of Kings Heath 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
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
522595
star this property registered interest false more like this
star this property date less than 2016-06-03more like thismore than 2016-06-03
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 hospitals in England 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 38974 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 2016-06-08more like thismore than 2016-06-08
star this property answer text <p>In the last five years there have been a total of 1,881 Never Events recorded in hospitals in England. The table below provides the specific annual figures of this total.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Data source</p></td><td><p>Total</p></td></tr><tr><td><p>2011/12</p></td><td><p>National Reporting and Learning System</p></td><td><p>326</p></td></tr><tr><td rowspan="2"><p>2012/13</p></td><td><p>National Reporting and Learning System</p></td><td><p>237</p></td></tr><tr><td><p>Strategic Executive Information System</p></td><td><p>329</p></td></tr><tr><td><p>2013/14</p></td><td><p>Strategic Executive Information System</p></td><td><p>338</p></td></tr><tr><td><p>2014/15</p></td><td><p>Strategic Executive Information System</p></td><td><p>306</p></td></tr><tr><td><p>2015/16 (provisional)</p></td><td><p>Strategic Executive Information System</p></td><td><p>345</p></td></tr></tbody></table><p> </p><p>Never Events cannot be compared year on year as the number of Never Events contained within the Never Events list and definitions of the individual Never Events have been modified each year, so direct comparison is not appropriate.</p><p> </p><p>Data for 2015/16 is still provisional and is yet to be confirmed in the annual data summary.</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 2016-06-08T13:54:45.003Zmore like thismore than 2016-06-08T13:54:45.003Z
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
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
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