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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
star 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
unstar this property tabling member constituency Liverpool, Wavertree remove filter
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
star 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
star this property tabling member
4036
star this property label Biography information for Luciana Berger 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
star 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
unstar this property tabling member constituency Liverpool, Wavertree remove filter
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
star 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
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
228872
star this property registered interest false more like this
star this property date less than 2015-03-20more like thismore than 2015-03-20
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
star 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 face-down physical restraint is included in the list of never ever events that must be reported to the Strategic Executive Information System. more like this
unstar this property tabling member constituency Liverpool, Wavertree remove filter
star this property tabling member printed
Luciana Berger more like this
star this property uin 228605 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 2015-03-25more like thismore than 2015-03-25
star this property answer text <p>Face-down physical restraint is not included in the list of Never Events contained within the Never Events Framework that must be reported to the Strategic Executive Information System.</p><p> </p><p> </p><p> </p><p>Use of face-down restraint is, however, a patient safety incident that should be reported and submitted to the National Reporting and Learning System. Any serious harm resulting from the use of face-down restraint would be reportable to the Strategic Executive Information System as a Serious Incident.</p><p> </p> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-03-25T12:42:02.523Zmore like thismore than 2015-03-25T12:42:02.523Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
227871
star this property registered interest false more like this
star this property date less than 2015-03-17more like thismore than 2015-03-17
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
star 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 were investigated by NHS England in each year since 2012; how many and what proportion of those events related to mental health patients; what criteria NHS England uses to investigate incidents reported to the Strategic Executive Information System; and what mechanisms exist to ensure that actions and recommendations relating to the investigation of such incidents are implemented locally. more like this
unstar this property tabling member constituency Liverpool, Wavertree remove filter
star this property tabling member printed
Luciana Berger more like this
star this property uin 227903 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 2015-03-23more like thismore than 2015-03-23
star this property answer text <p>NHS England does not investigate individual ‘never events’ since this is the responsibility of the provider of care within which the serious incident occurred.</p><p> </p><p> </p><p> </p><p>Never events are types of Serious Incidents as defined by the Serious Incident Framework (available online at: <a href="http://www.england.nhs.uk/wp-content/uploads/2013/03/sif-guide.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2013/03/sif-guide.pdf</a>) and must be reported to the Strategic Executive Information System (STEIS) and investigated in accordance with this Framework. There are 25 never events categories defined in the current list within the companion Never Events Policy Framework which is available online at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/publications/healthcare-never-events-policy-framework-update" target="_blank">https://www.gov.uk/government/publications/healthcare-never-events-policy-framework-update</a></p><p> </p><p> </p><p> </p><p>The number of never events reported is published monthly by category on NHS England’s website:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/ourwork/patientsafety/never-events/ne-data/" target="_blank">http://www.england.nhs.uk/ourwork/patientsafety/never-events/ne-data/</a></p><p> </p><p> </p><p> </p><p>Although there are two never event categories directly relevant to mental health (13. ‘Suicide using non-collapsible rails’ and 14. ‘Escape of a transferred prisoner’), never event reports are not classified by care setting.</p><p> </p><p> </p><p> </p><p>There were 338 never events reported to the STEIS in financial year 2013/14, one of which involved the escape of a transferred patient from a mental health facility. In 2012/13 290 never events were reported to STEIS, one of which again involved the escape of a transferred patient from a mental health facility. There were no reports in either year associated with the category ‘suicide using a collapsible rail’. Mental health patients may have experienced never events in other categories.</p><p> </p><p> </p><p> </p><p>As described within the Serious Incident Framework, it is the provider of the care, within which the serious incident occurred, that is responsible for reporting, investigating and responding to the serious incident. Commissioners are accountable for quality-assuring the robustness of their providers’ investigations and the development and implementation of effective actions by the provider, to prevent recurrence of similar incidents. Serious incident investigations should be closed by the relevant commissioner when they are satisfied that the investigation report and action plan meet the required standard. Providers and commissioners are expected to establish mechanisms for monitoring on-going or long-term actions to ensure they are fully implemented.</p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-03-23T17:53:29.287Zmore like thismore than 2015-03-23T17:53:29.287Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
227872
star this property registered interest false more like this
star this property date less than 2015-03-17more like thismore than 2015-03-17
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
star 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 categories of a Never ever event there are which must be reported to the Strategic Executive Information System; and how many and what proportion of those categories are relevant to mental health. more like this
unstar this property tabling member constituency Liverpool, Wavertree remove filter
star this property tabling member printed
Luciana Berger more like this
star this property uin 227904 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 2015-03-23more like thismore than 2015-03-23
star this property answer text <p>There are 25 serious incident categories classified as ‘never events’. All of these incidents must be reported to the Strategic Executive Information System. A never event is a serious, largely preventable patient safety incident that should not occur if the available preventative measures are implemented. Although there are two never event categories which are directly relevant to mental health (<em>13.</em> <em>Suicide using non-collapsible rails</em> and <em>14.</em> <em>Escape of a transferred prisoner</em>) never event reports are not classified by care setting.</p><p> </p> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-03-23T17:54:24.167Zmore like thismore than 2015-03-23T17:54:24.167Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
225215
star this property registered interest false more like this
star this property date less than 2015-03-04more like thismore than 2015-03-04
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
star 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 and what proportion of NHS staff have signed up to the five NHS Sign up to Safety pledges. more like this
unstar this property tabling member constituency Liverpool, Wavertree remove filter
star this property tabling member printed
Luciana Berger more like this
star this property uin 226441 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 2015-03-09more like thismore than 2015-03-09
star this property answer text <p>To date 236 organisations from across the National Health Service in England have signed up to the campaign and made their five pledges on behalf of all of their members of staff. This includes 86% of acute, 68% of community and 54% of mental health providers and 50% of ambulance trusts plus a range of other health related organisations at frontline regional and national level<strong>*</strong>.</p><p> </p><p> </p><p> </p><p>Individuals everywhere are also able to sign up to the campaign and make their own pledges online. Currently we have around 250 individuals who have done this so far from a wide variety of organisation types. The campaign has focused in its first year on engaging organisations and in its second year will focus on individual involvement.</p><p> </p><p> </p><p> </p><p>Organisations who have joined the Sign up to Safety community commit to turning their five pledges into a personalised Safety Improvement Plan. These plans are derived from working with their staff on what matters to them and sets out their ambition and focus for the next three years for how their staff will take action to support the NHS shared goal of halving avoidable harm and saving lives.</p><p> </p><p> </p><p> </p><p><strong>*</strong>Percentage figures derive from publicly available numbers from 2013, accessible on the NHS Confederation’s website.</p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-03-09T15:59:39.403Zmore like thismore than 2015-03-09T15:59:39.403Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
177532
star this property registered interest false more like this
star this property date less than 2015-02-03more like thismore than 2015-02-03
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
star 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 Strategic Executive Information System reports dating from before the Health and Social Care Act 2012 are waiting conclusion. more like this
unstar this property tabling member constituency Liverpool, Wavertree remove filter
star this property tabling member printed
Luciana Berger more like this
star this property uin 223214 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 2015-02-10more like thismore than 2015-02-10
star this property answer text <p>Data and information safeguarding was strengthened under the Health and Social Care Act 2012. When data was extracted on 4 February the Strategic Executive Information System (STEIS) held reports of 1,255 Serious Incidents whose status was not classified as ‘closed’. It is not possible to determine from the database which of these incidents had been resolved locally.</p><p> </p><p> </p><p> </p><p>The principles for responding to Serious Incidents are set out in the current Serious Incident Framework, published in March 2013, and this includes the roles and responsibilities of providers and commissioners including effective governance and learning from a serious incident.</p><p> </p><p> </p><p> </p><p>NHS England is currently refreshing the Serious Incident Framework to take account of supporting all the guidance produced since March 2013 over 2013-14 and to reflect operational feedback on the implementation of the 2013 Framework.</p><p> </p> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-02-10T18:02:58.097Zmore like thismore than 2015-02-10T18:02:58.097Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this