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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
unstar 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
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
star 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 Philip Dunne more like this
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
1568112
star this property registered interest false more like this
star this property date less than 2023-01-18more like thismore than 2023-01-18
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar 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
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 and Social Care, what assessment the Department has made of the number of patients who are avoidably harmed during routine medical procedures and surgeries. more like this
star this property tabling member constituency Hendon more like this
star this property tabling member printed
Dr Matthew Offord more like this
star this property uin 126603 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2023-01-24more like thismore than 2023-01-24
star this property 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>
star this property answering member constituency Lewes more like this
star this property answering member printed Maria Caulfield more like this
star this property question first answered
less than 2023-01-24T14:34:19.547Zmore like thismore than 2023-01-24T14:34:19.547Z
star this property answering member
4492
star this property label Biography information for Maria Caulfield more like this
star this property tabling member
4006
star this property label Biography information for Dr Matthew Offord 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
unstar 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
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 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
star 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
star 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 Dame Caroline Dinenage more like this
star this property attachment
1
star this property file name PQ131618 attached table.docx more like this
unstar this property title PQ131618 attached table more like this
star this property tabling member
473
star this property label Biography information for Sir Mark Hendrick more like this
1581586
star this property registered interest false more like this
star this property date less than 2023-01-27more like thismore than 2023-01-27
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar 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
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 and Social Care, how many patient safety incidents were reported as a result of ambulance service delays in each year since 2010. more like this
star this property tabling member constituency Slough more like this
star this property tabling member printed
Mr Tanmanjeet Singh Dhesi more like this
star this property uin 134052 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2023-02-01more like thismore than 2023-02-01
star this property answer text <p>Information on patient safety incidents is not held in the format requested.</p><p>Information on patient safety incidents, including those relating to ambulance services, is published by NHS England as part of the National Reporting and Learning System and is available at the following link: <a href="https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/" target="_blank">https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/</a></p> more like this
star this property answering member constituency Colchester more like this
star this property answering member printed Will Quince more like this
star this property question first answered
less than 2023-02-01T12:26:38.66Zmore like thismore than 2023-02-01T12:26:38.66Z
star this property answering member
4423
star this property label Biography information for Will Quince more like this
star this property tabling member
4638
star this property label Biography information for Mr Tanmanjeet Singh Dhesi more like this
1468132
star this property registered interest false more like this
star this property date less than 2022-06-07more like thismore than 2022-06-07
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar 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
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 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. more like this
star this property tabling member constituency Kingston upon Hull North more like this
star this property tabling member printed
Dame Diana Johnson more like this
star this property uin 13658 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2022-06-20more like thismore than 2022-06-20
star this property 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> more like this
star this property answering member constituency Lewes more like this
star this property answering member printed Maria Caulfield more like this
star this property question first answered
less than 2022-06-20T14:21:47.723Zmore like thismore than 2022-06-20T14:21:47.723Z
star this property answering member
4492
star this property label Biography information for Maria Caulfield more like this
star this property tabling member
1533
star this property label Biography information for Dame Diana Johnson 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
unstar 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
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 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
star 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
star 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 Dame Caroline Dinenage more like this
star this property tabling member
4418
star this property label Biography information for Justin Madders more like this
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
unstar 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
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 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
star this property is ministerial correction false more like this
star this property date of answer less than 2018-06-21more 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
star 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 Dame Caroline Dinenage more like this
star this property tabling member
1453
star this property label Biography information for Andrew Selous 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
unstar 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 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
star 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
star 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
star this property tabling member
4472
star this property label Biography information for Holly Lynch more like this
934259
star this property registered interest false more like this
star this property date less than 2018-07-03more like thismore than 2018-07-03
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar 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
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 and Social Care, pursuant to the Answer of 19 June 2018 to Question 152793 on Patients: Safety, whether any steps have been taken to determine the reason for the increase in never events. 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 160274 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-07-09more like thismore than 2018-07-09
star this property answer text <p>The Government is committed to eradicating Never Events and ensuring best practice is shared throughout the health care system.</p><p>That is why in December 2017, the Secretary of State commissioned the Care Quality Commission (CQC) to undertake a safety thematic review of Never Events, under Section 48 of the Health and Social Care Act 2008.</p><p>The CQC’s review, which is expected to report in autumn 2018, will examine the underlying issues in National Health Service trusts in England that contribute to the occurrence of Never Events and identify the learning that can be applied to wider safety issues.</p><p>The ‘Never Events Policy and Framework’ was revised in March 2015 and the definition of Never Events changed to provide further clarity over their purpose, and; to ensure incidents are easily identifiable when they occur and are not dependent on the severity of outcome of the incident.</p><p>The list of Never Events was reviewed at the same time to ensure that they were all compliant with the revised definition and to consider any new issues that were appropriate to be introduced as Never Events into the NHS in England.</p><p>Further revisions to the Never Events policy and framework and an updated Never Events list were published in January 2018. Therefore it is not possible to compare the number of Never Events reported on an annual basis.</p><p>As mentioned in my earlier reply to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-06-12/152793/" target="_blank">152793</a>, NHS providers are encouraged to report all Never Events, and the CQC regards failure to report a Never Event, a breach of a provider’s registration requirement.</p><p>The number of Never Events reported by independent providers is also increasing as they report more incidents to our National Reporting and Learning System.</p>
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-07-09T16:40:10Zmore like thismore than 2018-07-09T16:40:10Z
star this property answering member
4008
star this property label Biography information for Dame Caroline Dinenage more like this
star this property tabling member
4418
star this property label Biography information for Justin Madders more like this
1692731
star this property registered interest false more like this
star this property date less than 2024-02-29more like thismore than 2024-02-29
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar 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
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 and Social Care, how her Department records instances of near misses for (a) surgical fires and (b) other patient safety incidences. more like this
star this property tabling member constituency Strangford more like this
star this property tabling member printed
Jim Shannon more like this
star this property uin 16354 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2024-03-08more like thismore than 2024-03-08
star this property answer text <p>Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This can include surgical fires or burns. We are informed that NHS England does not define the severity of harm related to surgical fires or burns specifically. Grading the severity of harm related to a patient safety incident that is recorded on LFPSE, should be done using NHS England’s guidance on recording patient safety events and levels of harm, which asks that near miss events be graded as no harm. The guidance is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/" target="_blank">https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/</a></p><p> </p><p>If a surgical fire or burn is assessed locally and constitutes a patient safety event, it would fall under the scope of the Care Quality Commission’s (CQC) Regulations 16 or 18, and must be reported to the CQC. This means that the most serious surgical fires or burns which result in serious harm or the death of a service user, are subject to mandatory reporting. NHS trusts can comply with this requirement by recording patient safety events using the LFPSE service, and NHS England shares all such data with the CQC, who are responsible for regulating compliance with CQC regulations. CQC Regulations 16 and 18 are available respectively, at the following links:</p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user</a></p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents</a></p><p> </p><p>Although the recording of wider patient safety events onto LFPSE is a voluntary process, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.</p><p> </p><p>The LFPSE service and its predecessor, the National Reporting and Learning System, do not have specific categories for surgical fires or burns. Determining how many patient safety events related to surgical fires or burns were recorded by National Health Service providers in each of the last five years would require a search of the free text of recorded patient safety events, using key words, and a subsequent expert clinical review of all potential records to determine relevance to the question. This could only be provided at disproportionate cost.</p>
star this property answering member constituency Lewes more like this
star this property answering member printed Maria Caulfield more like this
star this property grouped question UIN
16353 more like this
16355 more like this
star this property question first answered
less than 2024-03-08T14:06:43.193Zmore like thismore than 2024-03-08T14:06:43.193Z
star this property answering member
4492
star this property label Biography information for Maria Caulfield more like this
star this property tabling member
4131
star this property label Biography information for Jim Shannon more like this